OASIS-E2 took effect April 1, 2026 — and the quiet change is bigger than the loud one
The visible part of OASIS-E2 is item-level. The gender item moved from M0069_PAT_GENDER to A0810. Race and ethnicity collection shifted to A1255, replacing the previous A1250 items. The mood item D0150 now accepts a dash when it doesn't apply, and the COVID-19 vaccination item O0350 was removed entirely. Resumption of Care assessments picked up additional required items.
None of that is hard on its own. What catches agencies is that saved mappings, custom reports and any downstream export built against the old item names quietly keep writing to fields that no longer exist. The assessment looks finished on screen. The problem surfaces at QA, or at the claim.
Manual entry in iQIES was also discontinued on April 1, 2026. If your fallback for a stuck export was to key the assessment in by hand, that fallback is gone.
The all-payer requirement is the gap nobody talks about
Since July 1, 2025, agencies must collect OASIS data on all skilled patients regardless of payer — Medicare, Medicaid, commercial, private pay. Collection is no longer Medicare-only.
Plenty of small agencies never changed the workflow. The intake habit of asking "is this a Medicare patient?" before deciding whether to start an OASIS is now a compliance gap that grows every admission. It is also the kind of thing that looks fine until someone audits a year of charts at once.
Sothcare starts the correct assessment based on the service, not the payer, so the decision isn't left to whoever does intake that morning.
What clinicians actually get
OASIS-E2 with skip logic
Current item set with intelligent skip logic and BIMS/PHQ-9 auto-calculation, so clinicians answer what applies and nothing else.
PDGM at the point of care
The HIPPS code and payment grouper resolve before the clinician leaves the home — not three days later when a coder finds the problem.
837I with 835 reconciliation
Claims generated and submitted direct to Availity, with remittance posted back against the originating claim.
One-click ADR packaging
Additional Documentation Requests assembled from the chart in minutes instead of hours of PDF assembly.
All-payer assessment logic
The right assessment starts based on service type, so non-Medicare skilled patients don't fall through the intake gap.
Care Compare quality tracking
Quality measures tracked as documentation happens, so you see the trend during the quarter rather than after it publishes.
Flat $519 a month, however many clinicians you hire
Per-seat pricing means your software bill rises every time you staff up and keeps charging for clinicians who left. A 25-clinician agency on a per-seat EHR commonly pays $1,300–$2,000+ per month, and pays it whether or not those seats are filled.
Sothcare is $519 per month, flat, with unlimited clinician accounts. No per-clinician fee, no per-claim fee, no per-episode fee, no annual contract. Agencies running a second service line save 15% on it.
Our first five skilled home health customers run 90 days free in parallel with their existing system — you don't cut over until claims are landing correctly on ours.
See full pricing →Common questions
Did OASIS-E2 land cleanly in your system on April 1?
The item changes are small but they break saved mappings. If your vendor didn't redeploy, your assessments are still writing to retired fields and you won't find out until claims or QA reject.
Are you collecting OASIS on non-Medicare patients?
Since July 1, 2025 the all-payer requirement applies to every skilled patient. Agencies that kept a Medicare-only workflow have a compliance gap sitting in their chart history right now.
How much does Sothcare cost for a skilled agency?
$519 per month, flat, with unlimited clinician accounts. No per-clinician fee, no per-claim fee, no annual contract. A 25-clinician agency on per-seat pricing commonly pays $1,300–$2,000+ a month.
Do you submit 837I claims directly?
Yes — 837I generation with direct submission to Availity and 835 reconciliation, so remittance posts against the claim it belongs to instead of arriving as a spreadsheet you reconcile by hand.
What happens to claims in flight when we switch?
We run parallel with your existing system through the transition rather than cutting over on a date. Nothing in flight gets stranded. Our first five skilled agencies also run 90 days free in parallel.
Bring your hardest OASIS question
20-minute, founder-led demo on a live system. No slide deck.
Book my 20-min demo or start free →Regulatory details on this page reflect CMS guidance current as of August 2026. Requirements change — confirm current rules with CMS or your MAC before relying on this summary. Sothcare is documentation and workflow software; it supports your compliance program but does not replace your clinical judgment.