Reference Guides

OASIS Star Rating Accuracy & Logic Reference Tool

This reference tool provides in-depth documentation tips for the “Quality of Patient Care Star Rating” including definitions of terms used by CMS in quality measurement such as “quality episode” and “risk adjustment.”

  • For 7 of the 8 measures, detailed information is included regarding the specific OASIS items that are used in measure calculation.  Specific guidance from OASIS Guidance Manual chapter 3 and response-specific tips are identified.  Taking it to the next level, for the “improvement” outcomes some associated risk factors that have potential to affect final outcome percentages through risk adjustment are listed.
  • The 8th measure is not OASIS-based.  Tips for this claims-based measure include suggestions to reduce risk for hospitalization and details of risk adjustment for this outcome.

MAC Legacy offers this tool with our hope that by digging deeply into the many factors of quality measurement, your agency will gain better understanding as you reach for the stars!