M1000: CMS OASIS Q&As

The correct response would be NA - Patient was not discharged from an inpatient facility for M1000 - Inpatient Facilities because the patient's status would have been an outpatient for this situation.

When completing a Resumption of Care assessment which will also serve as a Recertification assessment, M1000 - Inpatient Facilities should reflect inpatient facility discharges that have occurred during the two-week period immediately preceding the first day of the new certification period.

M1000 - Inpatient Facilities asks if the patient was discharged from an inpatient facility during the past 14 days. In your scenario, you describe a patient who was admitted and discharged from an inpatient facility during the 14 days prior to the completion of the new RFA 1 SOC comprehensive assessment. The inpatient stay would be reported in M1000. M1000 does not ask you to only report inpatient facility stays that meet the criteria for the OASIS Transfer, i.e., it does not require that the stay in the inpatient facility is for 24 hours or longer for reasons other than diagnostic testing. It simply asks whether the patient was discharged from an inpatient facility during the past 14 days.

M1000 - Inpatient Facilities, is asking from which of the following inpatient facilities was the patient discharged during the past 14 days. If the patient had been admitted to the hospital as an inpatient for observation, it is considered a hospital discharge. If the patient was not admitted as an inpatient, but placed under observation utilizing one of the two G-codes for hospital outpatient department observation services, then it would not be an inpatient facility discharge and therefore not reportable in M1000.

A patient in a Swing Bed facility may be receiving acute care, or SNF care, or both.

The intent of M1000 - Inpatient Facilities is to identify whether the patient has been discharged from an inpatient facility within the 14 days immediately preceding the Start of Care/Resumption of Care Date. In an instance where a patient is receiving care in their home under a Hospital at Home program, they are considered to be in an inpatient facility. This is because the services being provided are being delivered under the coordination of an acute care hospital. If the patient’s discharge from the Hospital at Home program is within the past 14 days, then for M1000, response 3 - Short-stay acute hospital (IPPS) should be checked.

Treatment in the hospital's emergency department without admission to an inpatient bed is not considered an inpatient admission and would not be reported as such when answering the OASIS items.