--- title: "OASIS E: Four (4) Questions on Patient Nutrition" description: Home Health Care - Cognitive therapy exercises are clinically-proven ways to improve mood and solve difficult problems. Visit here to know more about it. image: https://go.myhomecarebiz.com/hubfs/img-elderly-eating.jpg --- [![PowerPath.ai](https://go.myhomecarebiz.com/hs-fs/hubfs/Power-Path-copy.ai_-2048x263.png?width=2000&height=256&name=Power-Path-copy.ai_-2048x263.png "PowerPath.ai")](https://powerpath.ai/) - [How It Works](https://powerpath.ai/how-it-works/) - [Tools for Growth](https://powerpath.ai/tools-for-growth/) - [Meet Pattii](https://powerpath.ai/meet-pattii/) - [Resources](https://powerpath.ai/resources/) - [Blog](https://go.myhomecarebiz.com/blog) - [About](https://powerpath.ai/about/) - [Contact](https://powerpath.ai/contact/) [My Account](https://secure.myhomecarebiz.com/) [Get Demo](https://melissa-myhomecarebiz.youcanbook.me/) ![BlogHeaderImg](https://go.myhomecarebiz.com/hs-fs/hubfs/BlogHeaderImg.png?width=2000&height=666&name=BlogHeaderImg.png "BlogHeaderImg") # Home Health Insights Stay informed with the latest news in home health. ## Browse by Topic - [Regulatory News for Home Health & Hospice (173)](https://go.myhomecarebiz.com/blog/topic/regulatory-news-for-home-health-hospice) - [Clinical Best Practices for Home Health & Hospice (22)](https://go.myhomecarebiz.com/blog/topic/clinical-best-practices-for-home-health-hospice) - [Home Health Billing & Coding (21)](https://go.myhomecarebiz.com/blog/topic/home-health-billing-coding) - [Home Health Marketing (18)](https://go.myhomecarebiz.com/blog/topic/home-health-marketing) ## OASIS E: Four (4) Questions on Patient Nutrition OASIS E: Four (4) Questions on Patient Nutrition Posted by Melissa Cott on Apr 21, 2025 # OASIS E: Four (4) Questions on Patient Nutrition Posted by [Melissa Cott](https://go.myhomecarebiz.com/blog/author/melissa-cott) on Apr 21, 2025 Medicare's OASIS-E assessment, effective January 2023, expanded its data collection on the patient's nutritional status to include four (4) more questions on Start of care, Resumption and Discharge. The presence of Parenteral/IV feeding and Feeding tube (e.g., nasogastric or abdominal (PEG)) was recorded on the SOC at M1030 Therapies the Patient receives at Home. Mechanically altered diet – required change in texture of food or liquids (e.g., pureed food, thickened liquids) and Therapeutic diet (e.g., low salt, diabetic, low cholesterol) are the 2 unique additions. The presence of any of these items on assessment would indicate the need for inclusion in the careplan, notably patient teaching & recall. ## K0520. Nutritional Approaches [![Download Guidance for Administering Total Parenteral Nutrition (TPN)](https://no-cache.hubspot.com/cta/default/375308/b22906b0-f257-4890-bd89-b66d4c43cdb7.png)](https://cta-redirect.hubspot.com/cta/redirect/375308/b22906b0-f257-4890-bd89-b66d4c43cdb7) ### On Admission Check all of the nutritional approaches that apply on admission - A. Parenteral/IV feeding - B. Feeding tube (e.g., nasogastric or abdominal (PEG)) - C. Mechanically altered diet – require change in texture of food or liquids (e.g., pureed food, thickened liquids) - D. Therapeutic diet (e.g., low salt, diabetic, low cholesterol) - Z. None of the above   ### On Discharge Check all of the nutritional approaches that were received in the last 7 days and check all of the nutritional approaches that were being received at discharge. - A. Parenteral/IV feeding - B. Feeding tube (e.g., nasogastric or abdominal (PEG)) - C. Mechanically altered diet – require change in texture of food or liquids (e.g., pureed food, thickened liquids) - D. Therapeutic diet (e.g., low salt, diabetic, low cholesterol) - Z. None of the above   ## M1870 Feeding & Eating included OASIS-E Admission & Discharge M1870 continues to be present on OASIS-E, as it has been (in various forms) since the original OASIS released in 1998. Feeding or Eating: Current ability to feed self meals and snacks safely. Note: This refers only to the process of eating, chewing, and swallowing, not preparing the food to be eaten. - 0 Able to independently feed self. - 1 Able to feed self independently but requires: (a) meal set-up; OR (b) intermittent assistance or supervision from another person; OR (c) a liquid, pureed or ground meat diet. - 2 Unable to feed self and must be assisted or supervised throughout the meal/snack. - 3 Able to take in nutrients orally and receives supplemental nutrients through a nasogastric tube or gastrostomy. - 4 Unable to take in nutrients orally and is fed nutrients through a nasogastric tube or gastrostomy. - 5 Unable to take in nutrients orally or by tube feeding.   ## Intent of M1870...Per the Medicare Guidance Manual - M1870 identifies the patient’s ability to feed him/herself, including the process of eating, chewing, and swallowing food. - The intent of the item is to identify the patient’s ABILITY, not necessarily actual performance. “**Willingness**” and “**adherence**” are not the focus of these items. - These items address the patient’s ability to safely self-feed, given the current physical and mental/emotional/cognitive status, activities permitted, and environment. - The patient must be viewed from a holistic perspective in assessing ability to perform ADLs. Ability can be temporarily or permanently limited by:   - physical impairments (for example, limited range of motion, impaired balance) - emotional/cognitive/behavioral impairments (for example, memory deficits, impaired judgment, fear) - sensory impairments (for example, impaired vision or hearing, pain). [Dysphagia Diets? Home Health Clinicians Should Know...](https://go.myhomecarebiz.com/blog/home-health-clinicians-should-know) [OASIS M1870: 3 Strategies to Assist with Feeding & Eating](https://go.myhomecarebiz.com/blog/oasis-m1870-feeding-eating-strategies) [6 Goals for OASIS-D GG0130B Oral Hygiene](https://go.myhomecarebiz.com/blog/6-goals-for-oasis-d-gg0130b-oral-hygiene) Tags: [OASIS E: Nutritional Approaches](https://go.myhomecarebiz.com/blog/topic/oasis-e-nutritional-approaches) [![you will make Medicare happy](https://no-cache.hubspot.com/cta/default/375308/98f7e1e7-1e9a-44ed-994f-96665cf71930.png)](https://cta-redirect.hubspot.com/cta/redirect/375308/98f7e1e7-1e9a-44ed-994f-96665cf71930) ### Topics - [Clinical Best Practices for Home Health & Hospice (22)](https://go.myhomecarebiz.com/blog/topic/clinical-best-practices-for-home-health-hospice) - [CMS News for Billing (6)](https://go.myhomecarebiz.com/blog/topic/cms-news-for-billing) - [Conditions of Participation (16)](https://go.myhomecarebiz.com/blog/topic/conditions-of-participation) - [COVID-19 (11)](https://go.myhomecarebiz.com/blog/topic/covid-19) - [DX Alzheimers/Dementia (3)](https://go.myhomecarebiz.com/blog/topic/dx-alzheimers-dementia) ### Recent Posts [![Power-Path-copy.ai_-2048x263](https://go.myhomecarebiz.com/hs-fs/hubfs/Power-Path-copy.ai_-2048x263.png?width=2000&height=256&name=Power-Path-copy.ai_-2048x263.png "Power-Path-copy.ai_-2048x263")](https://powerpath.ai/) ## AI-powered EMR and outcomes-based marketing tools that help home health agencies operate smarter, improve patient results, and grow referrals—all in one HIPAA-compliant platform. - [How It Works](https://powerpath.ai/how-it-works/) - [Tools for Growth](https://powerpath.ai/tools-for-growth/) - [Meet Pattii](https://powerpath.ai/meet-pattii/) - [Resources](https://powerpath.ai/resources/) - [Blog](https://go.myhomecarebiz.com/blog) - [About](https://powerpath.ai/about/) - [Contact](https://powerpath.ai/contact/) [Get Demo](https://melissa-myhomecarebiz.youcanbook.me/) ## © 2026 PowerPath.ai. All rights reserved. Unauthorized use is prohibited.