Home Health, News

Educate clinicians about M1820, an item affecting functional points under PDGM

Source: Home Health Line

Ensure clinicians have proper training about how to respond to the OASIS-D item involving patients’ ability to dress their lower body safely.

M1820 (Ability to dress lower body) is one of six OASIS items that affect functional case-mix adjustment under the PPS, and it will be one of eight items that affect functional case-mix adjustment when the Patient-Driven Groupings Model (PDGM) launches on or after Jan. 1, 2020.

The eight OASIS items affecting scoring under PDGM are: M1820; M1800 (Grooming); M1810 (Current ability to dress upper body); M1830 (Bathing); M1840 (Toilet transferring); M1850 (Transferring); M1860 (Ambulation/locomotion); and M1033 (Risk of hospitalization).

The sum of those points leads to a functional score used to group home health periods into a functional level: low, medium or high.

It’s possible for a patient to generate up to 89 total functional points.

The threshold for the total number of points that will qualify a patient’s functional level as low, medium or high will vary based on the episode’s clinical group.

M1820 alone can generate up to 11 functional points.