RE: ADL coding for mechanical lift transfers

[Sue Russell]

Title: Message

How we code depends upon the type of mechanical assist.  If we use an E-Z lift, we code as a 4 because staff is doing all of the work; support depending upon how many needed to accomplish transfer.  When an E-Z stand is used, we code a 3-2 because the resident assists by bearing wt. and grasping with their arms. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Laurie L Swanke Sent: Monday, November 10, 2003 6:33 PM To: [EMAIL PROTECTED] Subject: Re: ADL coding for mechanical lift transfers I have been coding as a 3-2 since the resident does dome of the work.  They need to be able to bear wt and hold on and it only takes one person (sometimes).  We had this discussion at a seminar and I think the vote was down the middle--some 3-2 and some 3-3.  I think it finally was decided that no one really knows the answer and you should decide how your facility codes and stick with it. The coding definitely affects your ADL scores and thus your reimbursement so document your reasoning if you go with the higher number.   Laurie ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, November 10, 2003 7:22 PM Subject: RE: ADL coding for mechanical lift transfers Oh Oh    I have been coding that situation 4-3, my rational being the lift is doing the work of a second person and it also reflects the amount of effort the resident puts into the transfer.    Am I all wet?!   We too are a no-lift facility.  if the resident it totally dependent per the manual and only requires 1 person assist to use the lift, then I code it a 4-2.    Brenda W. Chance, RN, RAC-C MDS Coordinator