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
Holly F. Sox, RN, RAC-C 
Clinical Editor, Careplans.com
www.careplans.com
[EMAIL PROTECTED]
----- 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...
 
On Fri, 16 Apr 2004 08:31:23 -0500 "Betty anderson" <[EMAIL PROTECTED]> writes:
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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