PPS Plus

PPS Plus

Published on 3 years ago

Conquer your coding & OASIS challenges with the best home health tips on YouTube: http://ppsplus.com. Join PPS Plus's Director of Coding and OASIS Review, Ann Giles, as she review how to answer M1860 (Ambulation) on the OASIS. Ann will review all the responses for the ambulatory patient, chairfast patients and all bedfast patients. Don't forget to leave your questions or comments in the comment box below.

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Video Notes:

0:18 - M1860 Defined
0:47 - M1860 Defined (cont.)
1:16 - Responses 1-3 for the Ambulatory Patient
1:52 - Responses 4-6

Copy and paste this tip into a Word document for future reference:

M1860, Ambulation/Locomotion identifies the patient’s ability and the type of assistance required to safely ambulate or propel self in a wheelchair over a variety of surfaces. The first thing we must clarify is what is included and excluded from this item. This item includes the patient’s ability to ambulate safely once in a standing position or their ability to safely use their wheelchair once in a seat position. Whether ambulating or using a wheelchair the patient’s ability should be evaluated on a variety of surfaces. That is, the typical surfaces the patient encounters in his/her environment. It is just as important to note that ALL transfers are excluded from this item.

Now let’s take a look at the responses. There are four possible responses for your ambulatory patients, two possible responses for your chairfast patient and only one for the bedfast patient.

Let’s break down the responses for the ambulatory patient. Response zero indicates that the patient is independent – no assistive devices or human assistance needed. Response one indicates that the patient can ambulate safely with a one-handed device and requires no human assistance. Response two indicates that that patient uses a two-handed device and/or requires intermittent human assistance to ambulate safely. Response three indicates that in order for the patient to ambulate safely he needs continuous human assistance.

The next two responses, responses 4 & 5 are appropriate for our chairfast patients. Response four indicates that the patient can wheel themselves independently and response five is appropriate for the patient who cannot. Response six will be used for all bedfast patients.

As always refer to chapter three of the OASIS Guidance Manual and the OASIS Q&As for more information on the M items.


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PPS Plus is headquartered in Biloxi, Mississippi.


PPS Plus provides the perfect solution for maximizing your reimbursement potential, growing your business and providing your patients with better care. We provide OASIS analysis software, benchmarking software, coding & OASIS review services, as well as online and on-site education and consulting services.

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