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ADL coding question

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Coding in transfers is as follows:

supervision - X 4

Limited assist X 2

Extensive assist X 1

Totally dependent X1

Independent x 13

I believe we should code transfers as supervision as that is the only code that occurred 3 or more times (other than Independent, which is the exception)and it follows the sequence of coding rules per the RAI manual.

My colleague feels we can code transfers as an extensive assist by using the algorithm.

I was under the impression you only go to the algorithm if there is no qualifying code that occurs more than three times.

Would love to hear everyone's opinion!

Talino

Specializes in ER CCU MICU SICU LTC/SNF.

Coding in transfers is as follows:

supervision - X 4

Limited assist X 2

Extensive assist X 1

Totally dependent X1

Independent x 13

I believe we should code transfers as supervision as that is the only code that occurred 3 or more times (other than Independent, which is the exception)and it follows the sequence of coding rules per the RAI manual.

My colleague feels we can code transfers as an extensive assist by using the algorithm.

I was under the impression you only go to the algorithm if there is no qualifying code that occurs more than three times.

Would love to hear everyone's opinion!

The October 2017 RAI, pG-8 has a more concise Algorithm

11155 MDS 3.0 CHANGE TABLE Chapter 3 Section G v1.15.pdf

11122 MDS 3.0 Chapter 3 Section G v1.15.pdf

mlolsonny

Specializes in Geri, psych, TCU, neuro--AKA LTC. Has 15 years experience.

Your assumption is correct. Because supervision occurred 3 or more times, code as supervision. With the information presented, there is absolutely NO justification to code as extensive.