OASIS-E Spotlight: Transportation (NACHC)

October 16, 2023

Making sense of CMS guidelines is more challenging than ever after the launch of OASIS-E and the abundance of changes that go along with it. KanTime’s OASIS Spotlight series will spotlight specific OASIS items to simplify the ruling and help clinicians significantly improve their understanding of OASIS so they can move forward with accuracy.

A1250: Transportation (NACHC ©)

Per the OASIS-E Guidance Manual: “Access to transportation for ongoing health care and medication access needs is essential to effective care management. Understanding patient transportation needs can help organizations assess barriers to care and facilitate connections with available community resources.”

Time points:

    • Start of Care
    • Resumption of Care
    • Discharge from Agency

Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living?

Code A, Yes, it has kept me from medical appointments or from getting my medications

Code B, Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need

Code C, No

Code X, Patient unable to respond

Code Y, Patient declines to respond

Adapted from: NACHC© 2019. National Association of Community Health Centers, Inc., Association of Asian Pacific Community Health Organizations, Oregon Primary Care Association. PRAPARE and its resources are proprietary information of NACHC and its partners, intended for use by NACHC, its partners, and authorized recipients. Do not publish, copy, or distribute this information in part or whole without written consent from NACHC.

Dash IS NOT a valid response for this item.

Additional CMS guidance includes:

    • Patient should be offered the option of selecting more than one yes designation, if applicable.
      • If the patient is unable to respond, a proxy response may be used.
    • If the response(s) is/are determined via proxy input and/or medical record documentation, check all boxes that apply, including Code X – Patient unable to respond.
      • If neither the patient nor a proxy is able to provide a response to this item, medical record documentation may be used.
      • If the patient declines to respond, do not code based on proxy input or medical record documentation.

Stay tuned for next Monday’s spotlight so your practice can continue to stay ahead of the curve and provide elite patient care through the OASIS-E changes.

We provide clinicians that are part of the Kantime enterprise system with links to the guidance from CMS for each individual OASIS item.

If you would like to learn more about how better happens, contact us at sales@kanrad.com to schedule a demo.

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