OASIS-E1 Draft Published and other OASIS updates
The Essentials:
CMS has released the draft version of the new OASIS, which will be mandatory January 1st, 2025. This OASIS is called OASIS E-1. Several items that are no longer being used for payment or quality will be deleted, as well as one addition.
Deleted Items
OASIS E-1 has two items that are fully deleted, (M0110, Episode Timing, and M2200, Therapy Need). These items are no longer used for payment, but are no longer part of the payment structure with PDGM.
The Discharge Goals (column 2) in the GG1030 and GG1070 are also being deleted, because the process measure was being completed by nearly 100% of home health agencies. Originally, CMS had stated that these DC goals would be “optional” as of April 1st, 2024, but now has clarified through the January OASIS Q&A that these should continue to be measured until the new version of OASIS is implemented in 2025.
Added Items
One new item (O0350) will be added to assess if patients are up to date on their COVID-19 vaccine.
Changed Items
Also, there were several changes to existing items for clarity, including M2420, the Discharge status. This change finally brings the item up to date with the current guidance, that has been in place for a number of years. Note that response 2 clarified that "Discharged to the community with skilled services" means that the patient will still be receiving skilled services from a certified home health agency.
What to Do Next?
ONE. Be aware that the OASIS E-1 will be implemented in 2025. Download the draft.
TWO. Ensure your agency is using the updated OASIS E manual, and static Q&As, published in November 2023.
https://www.cms.gov/medicare/quality/home-health/oasis-user-manuals https://qtso.cms.gov/system/files/qtso/OASIS_CAT_2_Static_QA_10-31-2023.pdf https://qtso.cms.gov/system/files/qtso/OASIS_CAT_3_Static_QA_10-31-2023.pdf https://qtso.cms.gov/system/files/qtso/OASIS_CAT_4_Static_QA_10-31-2023.pdf
THREE. Stay up to date with the OASIS Q&A changes published by CMS quarterly in January, April, July and October.
https://qtso.cms.gov/system/files/qtso/CMS_OAI_4th%20Qtr_2023_QAs_Jan_2024_final.pdf
More Resources:
See the OASIS E-1 Draft and the Table of Changes at the links below: