Long-Term Care

Improve accuracy when coding activities of daily living

PPS Alert for Long-Term Care, December 1, 2009

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Coding activities of daily living (ADL) in Section G of the MDS 2.0 is an ongoing problem for many SNFs, and inaccuracies can have a negative effect on care planning, quality indicators, quality measures, and reimbursement.

“ADL coding is a challenge because all the CNAs and nurses who care for a resident must have the same understanding of each activity and how the resident’s and their own actions translate into self-performance and support codes,” says Sarah Riggin, RN, RAC-MT, CRNAC, C-NE, MDS nurse consultant at LTC Systems in Conway, AR. “However, ADL training does not have to be a nightmare.”

SNFs can improve the accuracy of ADL coding by ensuring that all staff members know the exact ADL definitions, simplifying the instructions, and providing tips and hands-on training to help staff members understand important coding information.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to PPS Alert for Long-Term Care.

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