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Well, this is actually true if the person giving
the seminar was referring to "support provided" rather than "self-performance".
And my understanding of the "3 or more occurrences"
language is that it refers to situations in which there are 2 (or more) choices
which could apply. In this case, you would use the most dependent level which
occurred at least 3 times during the assessment lookback period.
For example, for locomotion, if my resident
ambulates daily with hand-held assistance (limited assistance), but required
weight bearing assistance to ambulate on 4 occasions, then extensive assistance
is coded. However, if she did not ambulate at all for most of the
assessment period, but was noted to ambulate twice with hand-held assistance,
then limited assistance is coded.
I hope this helps.
HS
----- Original Message -----
Sent: Friday, April 16, 2004 10:03
AM
Subject: Re: section G coding???
Unbelievable. Hopefully, no one who attended this seminar will follow
"her" instructions...
Hi, I am new to this group and will be starting Medicare in the fall. I
went to a seminar in Dallas , TX yesterday and asked this question. "She"
said if a resident needed more assistance only one time, to code it as the
highest score. Just document in the chart. You do not need 2 to 3 time
occurrence in a week to get most the most "BANG " for you buck so to speak.
I'm sure I will be asking questions when I get started.
Betty
----- Original Message -----
Sent: Thursday, April 15, 2004 1:55
PM
Subject: Re: section G
coding???
You would code it as 0/2 because you had
only 2 incidents of 2/2. If the rest were all 8/8's you could have coded
it as a 2/2, but the blank area left on one shift negates that and you can
only consider it as a 0/2. You could, however, do what someone
suggested and talk with the staff who were on that shift (the one left
blank) and have them fill it in if they indeed remember the correct coding
for that shift.
In a message dated 4/14/04 5:03:22 PM Eastern
Daylight Time, [EMAIL PROTECTED] writes:
I have a question about section G. I know that an
activity has to happen at least "3" times to code an item in section
G. We have 7 day flow sheets that we code ADL's
on. How should this situation be coded? any activity,
here it is walking in the corridor. For all 21 shifts in a 7 day
period, there are only two areas that indicate "2/2" for walking.
ALL OTHER shifts the entire week are "8/8" for activity did not
occur. So this activity only occurred twice. How do I code
this? "2/2" or "0/2" . And for those
PA rnac's, there is one blank space! So we don't
know what actually occurred then. Any
thoughts? Thanks!
Nancy
To admit you were wrong is to declare you
are wiser now than before. --Unknown
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