Everything to Know About OASIS-E1 Changes in 2025

Overview

• Effective Date: January 1, 2025
• Purpose: Update to home health provider protocols
• Comparison: Minor updates compared to January 2023 changes, but important for compliance
• Key Changes:
  • Revised or removed questions
  • Addition of a new question related to COVID-19

Changes in OASIS-E1

Removed Items

• M0110 Episode Timing: Data not used since PDGM
• M2200 Therapy Needed
• GG0130 Self-Care: Discharge column only
• GG0170 Mobility: Discharge column only

Revised Items

• D0150 Patients Mood Interview (PHQ-2 to 9): Wording updated to match guidance
• M2420 Discharge Disposition: Clarifies "formal assistive services" as Medicare certified HHA or in-home hospice
• M0102 Date of Physician-ordered Start of Care: Skip pattern directed to M0110

New Item Added

• O0350 Patients COVID Vaccination:
  • Reflects COVID vaccine quality measure finalized in CY 2024 Home Health Prospective Payment System
  • Reported on Care Compare website in 2026

Considerations for New COVID Vaccination Question

• Applicable on Transfer, Death at home, and Discharge assessments
• Sources for information: medical records, patients, family, caregivers, healthcare providers
• Agencies can vaccinate patients if vaccine is available
• Conflicting information requires clinician judgment based on CDC guidance

Coding Instructions for O0350

• Code 0 (No): Not up to date, includes exemptions or undeterminable status
• Code 1 (Yes): Up to date according to CDC
• Dash (-): Valid response if not assessed, expected to be rare

Impact on Home Health Operations

• Likely to reduce time due to removal of questions
• Educate clinicians on changes, especially COVID question
• States track COVID vaccination status; understanding access is crucial

Author Information

• Trish Weber: Registered nurse specializing in long-term care and home health, expertise in ICD-10 coding and OASIS

Related Links

• Financial impact of OASIS-E and value-based purchasing
• 3 reasons your accounts receivable are too high and how to reduce them
• Developing ongoing training and education for EHR success

Contact and Further Information

• MatrixCare: Offers solutions in home health, hospice, and other care settings
• Contact: Talk to us
• Career Opportunities: We are hiring