Home health agency software that gets every OASIS assessment out inside 30 days
OASIS is the assessment set a Medicare certified home health agency completes on each patient and transmits to CMS. Federal rule 42 CFR 484.45 allows 30 days from completing an assessment to encode and transmit it, and the quality reporting programme expects a 90 percent compliance rate whatever the payer. Falling short costs 2 percentage points off the market basket increase. Neurobird tracks every assessment against its own clock.
Neurobird Home Health Agency OASIS in short
- Track every assessment from start of care through transfer, resumption, recertification and discharge
- Run the 30 day transmission clock per assessment and flag the ones about to breach it
- Show the quality assessment rate as it stands today rather than after the fact
- 30 days The window an agency has to encode and electronically transmit each completed OASIS assessment to the CMS system. 42 CFR 484.45
- 90 percent The quality assessments only compliance rate CMS requires of every agency, regardless of payer source, under the pay for reporting requirement. CMS, home health quality reporting requirements
- Pricing runs 299 to 1600 US dollars per month across 3 tiers. Early access is free.
What home health agencies actually deal with
Why it stays broken
An OASIS record is a clinical document, a payment trigger and a quality measure at the same time, so three different people own a piece of it. The EMR captures it, the biller waits on it and the quality nurse audits it afterwards. The 30 day transmission clock belongs to none of them, which is exactly why it gets found late.
42 CFR 484.45 gives an agency 30 days from completing an OASIS assessment to encode it and transmit it to the CMS system.
This statute requires that ‘‘each home health agency shall submit to the Secretary such data that the Secretary determines are appropriate for the measurement of health care quality.
What the rules say about OASIS reporting
Transmission deadlines, assessment timing, the compliance threshold and the payment consequence.
The window an agency has to encode and electronically transmit each completed OASIS assessment to the CMS system.
42 CFR 484.45The quality assessments only compliance rate CMS requires of every agency, regardless of payer source, under the pay for reporting requirement.
CMS, home health quality reporting requirementsThe reduction applied to the home health market basket percentage increase for an agency that does not meet the reporting requirements.
CMS, home health quality reporting requirementsThe window for the initial assessment visit, counted from referral or from the patient's return home, or the ordered start of care date.
42 CFR 484.55The certification period. The comprehensive assessment must be updated in the last 5 days of every 60 days from the start of care date.
42 CFR 484.55From 1 January 2027, OASIS data on non Medicare and non Medicaid patients enters the annual payment update calculation for start of care dates on or after that day.
CMS, home health quality reporting requirementsNeurobird Home Health Agency OASIS Compliance Platform
One record per assessment: the time point, the clinician, the day it was completed, the day it has to be out, and whether it landed. The compliance rate stops being a surprise.
- 1Track every assessment from start of care through transfer, resumption, recertification and discharge
- 2Run the 30 day transmission clock per assessment and flag the ones about to breach it
- 3Show the quality assessment rate as it stands today rather than after the fact
- 4Hold the recertification window so the last 5 days of every 60 day period are visible to the scheduler
What changes with Neurobird Home Health Agency OASIS?
The same work, read left to right: how it runs today, and how it runs once the record is in one place.
| Today | With Neurobird Home Health Agency OASIS |
|---|---|
| An assessment is completed in the home and sits on a tablet for a fortnight before anyone looks at it | Track every assessment from start of care through transfer, resumption, recertification and discharge |
| The recertification window opens and closes while the schedule still shows the old start of care date | Run the 30 day transmission clock per assessment and flag the ones about to breach it |
| Nobody can say what the agency's compliance rate is until a CMS report arrives and settles it | Show the quality assessment rate as it stands today rather than after the fact |
Who is this for?
The same assessment set, three different agencies.
One manager reviews everything
You need the assessments waiting on review to be a list rather than a memory, with the 30 day clock on each one.
Branches share a provider number
The compliance rate is calculated across the agency. You need to see which branch is dragging it before the payment year closes.
Non Medicare patients are a large share
All payer OASIS data enters the payment update for start of care dates on or after 1 January 2027. You need those patients counted from the day the rule bites.
How does Neurobird Home Health Agency OASIS work?
Open the episode
Referral, start of care date and the 60 day certification period are set once, and every assessment time point is derived from them rather than typed.
Clock each assessment
Completion date starts the 30 day transmission clock, and the assessment carries its own status until CMS accepts it.
Watch the rate
Quality assessments and non quality assessments are counted the way the programme counts them, so the 90 percent threshold is something you can see rather than something you learn.
The assessment queue, as your office would run it
Tick an assessment to complete it and watch the 30 day transmission clock start.
| Requirement | Status | Next due | |
|---|---|---|---|
| Start of care, 63F, CHF, referral 12 Mar | current | in 42d | |
| Recertification, 78M, COPD, day 55 of episode | due soon | in 9d | |
| Resumption of care after 3 day hospital stay | current | in 120d | |
| Discharge, 71F, post surgical wound care | overdue | 3d late | |
| Discharge, 71F, post surgical wound care | current | in 64d |
Tick a requirement to file evidence against it.
Home health agency oasis software questions, answered
Key terms
- What is OASIS in home health?
- OASIS is the Outcome and Assessment Information Set, the standard assessment a Medicare certified home health agency completes on each patient at start of care, at defined follow up points and at discharge. It drives payment and quality measurement, and 42 CFR 484.45 requires it to be transmitted to CMS within 30 days of completion.
What happens if we miss the reporting threshold?
An agency that does not meet the quality reporting requirements has its home health market basket percentage increase reduced by 2 percentage points for that payment year. The compliance rate CMS looks for is 90 percent or more of quality assessments.
Does this replace our EMR?
No. It sits beside it. The EMR holds the clinical record. This holds the assessment as an object with a deadline: when it was completed, when it must be out, who has it now, and whether it landed.
Does it handle non Medicare patients?
Yes, and it should. From 1 January 2027 OASIS data on non Medicare and non Medicaid patients enters the annual payment update calculation, so counting only Medicare episodes stops being a safe habit.
Why we are building this
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Where the requirement comes from
Primary sources, straight from the regulators.
- 42 CFR 484.45, reporting OASIS information The transmission condition of participation, the 30 day window and the data format requirements.
- 42 CFR 484.55, comprehensive assessment of patients Initial assessment timing, the update points and the last 5 days of every 60 day rule.
- CMS, home health quality reporting requirements The pay for reporting threshold, the payment reduction and the move to all payer data.
- CMS, OASIS-E guidance manual Item by item guidance, the manual clinicians are actually assessed against.
- 42 CFR 484.65, quality assessment and performance improvement The QAPI condition the OASIS data ends up feeding, and what the governing body has to be able to show.
How much does Neurobird Home Health Agency OASIS cost?
Priced per branch because the provider number, the survey and the compliance rate are branch level things. Assessments, clinicians and patients are unlimited on every tier.
- One location
- Unlimited assessments
- Transmission clock
- Compliance rate view
- Up to 5 branches
- Recertification windows
- Clinician level review queue
- All payer tracking
- Unlimited branches
- Cross branch rate comparison
- Export pack for survey
- Priority support
Get free early access
Early access means we set up your time points, branches and review steps before you type anything, and you keep the account free while we do it.
Straight answer on where this is: The software is in development. Nothing is purchasable today. Early access means you shape it and pay nothing while we build.
Prefer email? Write to office@neurobird.com and a person will reply. No autoresponder.