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 populated OASIS-E2 assessment, with PDGM-aware scoring, real-time QA, and direct EMR sync. That's what Lime is.

What the OASIS-E2 Scribe Does

• Pre-populates OASIS-E2 M-items from the natural visit conversation, no dictation, no extra clinician steps.
• Scores Section GG functional assessment with PDGM-aware logic that flags responses likely to misclassify functional impairment.
• Captures cognitive and behavioral items (BIMS, PHQ-2/9) by recognizing screening administration during the visit.
• Documents Social Determinants of Health sensitively, flagging missing SDOH 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

Section GG functional assessment is the single biggest PDGM payment lever. A response that scores a patient as "Independent" instead of "Setup or clean-up assistance" can shift functional impairment level and change reimbursement by hundreds of dollars per 30-day period.

Lime's OASIS-E2 scribe evaluates 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, but errors don't slip through.

EMR Integration: No Double Entry

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

OASIS-E2 Scribe vs Traditional QA-Only Workflow

Workflow Step	Traditional Approach	With Lime OASIS-E2 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