Learn about the OASIS-E1 changes for CY 2025 in Home Health, including updates to assessments, compliance requirements, and patient care impacts.
Overview
In 2023, Centers for Medicare & Medicaid Services (CMS) undertook a review of the OASIS assessment item set to identify candidate item removals with the goal of reducing the burden of data collection. Several factors were considered in this evaluation:
Items used to calculate a measure finalized for the Home Health Quality Reporting Program (HH QRP).
Items used in the Home Health Prospective Payment System (PPS).
Items used in the survey process for Medicare certification.
Items used to calculate a measure in Home Health Value-Based Purchasing (HH VPB) demonstration.
Items used as a critical risk-adjustment factor.
Items incorporated into the OASIS to fulfill a data category as part of the Conditions of Participation.
Based on the review, CMS has removed a few OASIS elements, revised some of the elements, and added one new element. These changes are minor compared to the changes introduced in CY 2023.
In this blog, we will review these changes, their impact of these changes, and how home care agencies should prepare for OASIS-E1 changes.
Removal of OASIS Items
As of January 1, 2025, the following OASIS items have been removed.
M0110 – Episode Timing: This item is removed from OASIS due to no longer being used in the Home Health Quality Reporting Program, and they are not intended for use in CMS payment, survey, or the expanded Home Health Value Based Purchasing Model (HHVBP).
M2200 – Therapy Need: This item is removed from OASIS due to no longer being used in the Home Health Quality Reporting Program, or needed for payment, survey or HHVBP model.
GG0130 – Discharge Goal: This item is removed to align with changes to HHVBP model that will begin in 2025.
GG0170 – Discharge Goal: This item is removed to align with changes to HHVBP model that will begin in 2025.
Revised of OASIS Items
As of January 1, 2025, the following OASIS items have been revised.
M0150 – Current Payment Source: The specification for this item has been changed to allow submission of OASIS assessments with a non-Medicare or non-Medicaid response.
D0150 – Patient’s Mood Interview: The instructions for this item have been revised to match the new guidance.
M2420 – Discharge Disposition: The instructions for this item have been revised to match the new guidance.
M0102 – Date of Physician Ordered Start of Care (Resumption of Care): The skip pattern has been changed to accommodate the removal of M0110 – Episode Timing.
Addition of OASIS Items
As of January 1, 2025, the following OASIS item has been added.
O0350 – Patient’s COVID vaccination is up to date: This item has been added to accommodate the COVID Vaccine quality measure in the final rule.
Refer to the following link to get more information on OASIS-E1 changes for CY 2025. https://www.cms.gov/files/document/hha-assessment-requirements-calendar-year-2025.pdf
OASIS-E1 Impact
OASIS-E1 changes for CY 2025 will have minimum impact for home health care agencies. Even though removal of OASIS items will save assessment time, clinicians might have to spend more time collecting the information for COVID Vaccine status of the patient.
Preparation for Agencies
Even though OASIS-E1 changes for CY 2025 are minimal, home health care agencies will still need to educate clinicians on the changes and make sure that their home health care software platform will accommodate the new changes.
Education and Training
Home Health Care Agencies will need to educate clinicians on the changes and procedures to collect COVID Vaccination status of the patient.
Policies and Procedures
Review the current policies and procedures and make changes to accommodate the new changes. Developing a process to review the documentation requirements and consistency of the documentation will help agencies with HHVBP model.
Software Platform
Home Care Software platforms will play a critical role in helping Home Health Agencies to meet the changes to OASIS-E1. Agencies should check with their software vendors to make sure their Home Care Software will meet CY 2025 OASIS-E1 changes.
OASIS-E1 FAQs
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OASIS-E1 introduces the removal, addition and modification of certain OASIS-E assessment items. Below are the difference between OASIS-E and OASIS-E1.
M0110 – Episode Timing, M2200 – Therapy Need, GG0130 – Discharge Goal, and GG0170 – Discharge Goal have been removed
M0150 – Current Payment Source, D0150 – Patient’s Mood Interview, M2420 – Discharge Disposition, and M0102 – Date of Physician Ordered Start of Care (Resumption of Care) have been revised
O0350 – Patient’s COVID vaccination is up to date has been added
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O0350 was added to track whether the patient's COVID vaccination is up to date, aligning with the COVID Vaccine quality measure in the final rule.
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The impact is minimal, but while the removal of items may save time, clinicians will need to spend additional time collecting COVID vaccination status information.
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Clinicians should be trained on the removal, revision, and addition of OASIS items, including procedures for accurately collecting and documenting COVID vaccination status.
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Agencies should educate clinicians on changes, update policies and procedures to ensure proper documentation, and verify that their Home Care Software is updated to support the OASIS-E1 modifications.
About CareVoyant
CareVoyant is a leading provider of cloud-based integrated enterprise-scale home health care software that can support all home-based services under ONE Software, ONE Patient, and ONE Employee, making it a Single System of Record. We support all home based services, including Home Care, Private Duty Nursing, Private Duty Non-Medical, Home and Community Based Services (HCBS), Home Health, Pediatric Home Care, and Outpatient Therapy at Home.
CareVoyant functions – Intake, Authorization Management, Scheduling, Clinical with Mobile options, eMAR/eTAR, Electronic Visit Verification (EVV), Billing/AR, Secure Messaging, Notification, Reporting, and Dashboards – streamline workflow, meet regulatory requirements, improve quality of care, optimize reimbursement, improve operational efficiency and agency bottom line.
For more information, please visit CareVoyant.com or call us at 1-888-463-6797.
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