MDS Alert
Know The Difference Between Supervision, Limited And Extensive Assistance
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The key to coding is in the definitions.
A little review never hurt anyone coding ADLs, which drive RUG classification and payment. Check out the RAI manual definitions below for coding a resident's ADL self-performance.
Supervision: Oversight, encouragement or cuing provided three or more times during last seven days OR supervision (three or more times) plus physical assistance provided, but only one or two times during last seven days.
Limited Assistance: Resident highly involved in activity, received physical help in guided maneuvering of limbs or other non-weight-bearing assistance on three or more occasions OR- limited assistance (three or more times), plus more weight-bearing support provided, but for only one or two times during the last seven days.
Extensive Assistance: While the resident performed part of activity over last seven days, help of following type(s) was provided three or more times: Weight-bearing support provided three or more times; Full staff performance of activity (three or more times) during part (but not all) of last seven days.
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