Written by Michelle Horner, Manager of Post-Acute Education

The Centers for Medicare and Medicaid Services (CMS) has officially released the Draft version of the OASIS-E1 Instrument. OASIS-E1 is scheduled to have an effective date of January 1, 2025. Many of us in the industry are excited about some of these long-awaited changes!

The planned changes include the removal of M0110 Episode Timing and M2200 Therapy Need. Previously M0110 and M2200 were used to calculate reimbursement, but this was no longer the case once PDGM was implemented in CY2020.

In addition, the changes include the removal of the Discharge Goal column from GG0130 Self-Care and GG0170 Mobility. This coincides with the removal of the quality measure “Application of Percent of Long-Term Care Hospital (LTCH) Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function.”

These items caused a considerable amount of confusion to clinicians, as well as additional time spent completing the assessments. CMS estimates the implementation of these changes in CY 2025 will reduce cost by $5,123,430.

OASIS-E1 also brings some much-needed clarification to the response choices in M2420 Discharge Disposition. The guidance related to the scoring of M2420 changes back in 2020, but the wording of the response choices was never updated to match, creating confusion and inaccurate responses to the item. The clarification in the language of the responses aligns with the current guidance and will promote more accurate scoring of the item.

Since the implementation of OASIS-E in 2023, there have been many updates and Q&As related to the instructions for completing and the scoring of D0150 Patient Mood Interview. The Item itself had conflicting language/instruction built into the assessment that created much confusion for clinicians. OASIS-E1 will have updated language that aligns with the current guidance on when to stop the interview and when to keep going after completing D0150A1 and D0150B1.

OASIS-E1 will also include the addition of NEW item O0350 Patient’s COVID-19 vaccination is up to date. We have no official guidance yet related to this item. It is going to be a hot topic as we move forward as to how it will be completed, data sources allowed and what will be considered “up-to-date.”

Currently, there is no OASIS-E1 Guidance Manual. CMS indicates it will be released at a later date.

Join us January 24, 2024, for our OASIS Quarterly Update to discuss these exciting OASIS-E1 changes, and the latest quarterly Q&As.

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Webinar | OASIS-E Quarterly Update: January 2024

Listen in as our McBee experts review the latest OASIS-E updates provided by the Centers for Medicare & Medicaid Services (CMS) and apply the new guidance to scenarios.

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Michelle Horner, Manager, Post-Acute Education

About the Author

Michelle Horner, BSN, RN, HCS-O, HCS-D, HCS-H, COS-S, Manager, Post-Acute Education

Michelle Horner, BSN, RN, HCS-O, HCS-D, HCS-H, COS-S is the Manager of Post-Acute Education for McBee. She has more than 30 years of experience in healthcare with an extensive background in critical care and home care. Michelle has been instrumental in the content creation for the McBee Post-Acute Academy. She currently specializes in Quality, Clinical, and Regulatory Consulting and Education. Michelle develops and provides custom on-site client education programs. She speaks regularly for various home care associations. Her expertise regularly appears in the Decision Health Diagnosis Coding Pro and she is a subject matter expert contributor for several Decision Health publications. Michelle currently serves on the AHCC’s Board of Medical Specialty Coding and Compliance Certification HCS-D and HCS-O Committees.

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