The OASIS-E2 AI Scribe Built for Home Health

Why OASIS-E2 Needs a Purpose-Built Scribe

Most ambient AI scribes were built for physician office visits, short encounters with structured E/M coding. OASIS-E2 is fundamentally different. A home health Start of Care assessment per the CMS OASIS-E2 Guidance Manual can run 60+ minutes, captures 100+ structured data points across functional, cognitive, and SDOH domains, and the responses directly drive PDGM payment classification.

A generic ambient scribe will give you a transcript and a SOAP note. An OASIS-E2 scribe gives you a fully drafted OASIS-E2 assessment, with PDGM-aware scoring, real-time QA, and direct EMR sync. That's what Lime is.

What OASIS Scribe Does for OASIS-E2

• Drafts OASIS-E2 M-items from the natural visit conversation, no dictation, no extra clinician steps.
• Drafts M1800-M1860 and Section GG responses, with PDGM-aware logic that flags M1800-M1860 and M1033 responses likely to misclassify functional impairment.
• Captures cognitive and behavioral items (BIMS, PHQ-2/9) by recognizing screening administration during the visit.
• Captures standardized social items such as A1255 Transportation and B1300 Health Literacy, flagging missing responses and prompting follow-up.
• Suggests ICD-10 codes ranked by PDGM clinical group impact and comorbidity adjustment relevance.
• Flags real-time inconsistencies, between OASIS responses and visit narrative, between OASIS items, and against PDGM scoring logic.
• Syncs approved data to your EMR, HCHB, WellSky, MatrixCare, Axxess, DSL.

Ambient Capture, Built for Home Health Visits

The clinician opens the Lime app on phone or tablet, hits record at the start of the visit, and conducts the assessment naturally. The AI handles transcription, OASIS-E2 item extraction, ICD-10 suggestion, and QA review in the background. By the time the clinician closes their bag, the documentation is ready for review, usually in less than 5 minutes.

Recording is always initiated by an affirmative action. The app never listens passively. Patient consent is obtained before every recorded encounter.

Real-Time PDGM Optimization

The PDGM functional impairment level comes from points on M1800-M1860 and M1033. A one-step error, such as coding M1860 Ambulation as a 1 when the patient needs a walker, can shift the functional level for the 30-day period. Section GG earns no PDGM points but feeds quality measures and HHVBP.

OASIS Scribe evaluates M1800-M1860 and GG scoring against the patient's described functional status during the visit. When the AI detects a likely under-scoring (or over-scoring), it flags the item for clinician review with the supporting evidence from the conversation. Clinicians make the final call.

EMR Integration: No Double Entry

Lime integrates natively with the EMRs home health agencies actually use:

OASIS Scribe vs Traditional QA-Only Workflow

Workflow Step	Traditional Approach	With OASIS Scribe
SOC OASIS documentation	30–45 min after visit	Under 10 min during visit
QA review	Days later, sample-based	Real-time, 100% of charts
PDGM scoring	Manual; errors common	PDGM-aware; flagged in real time
EMR data entry	Manual double entry	Direct sync, no double entry
After-hours charting	2–3 hrs/clinician/day	Eliminated