MDS Alert

Coding Quizzer:

Would You Code Both of These Eating Examples as Total Dependence in Section G?

Try your hand at coding these two RAI User's Manual examples:

1. "Mrs. U. is severely cognitively impaired. She is unable to feed herself. During the 7-day look-back period, one staff member had to assist her with eating every meal."

2. "Mrs. D. receives all of her nourishment via a gastrostomy tube. She did not consume any food or fluid by mouth. During the 7-day look-back period, she did not participate in the gastrostomy nourishment process."

Source: RAI User's Manual

How could you code G0110H1 (ADL self-performance) and G0110H2 (ADL support provided) for these residents? The answers are on the last page of this newsletter.

Coding Quizzer Answers

Example No. 1: "G0110H1 would be coded 4, total dependence. G0110H2 would be coded 2, one person physical assist.

Rationale: Resident did not participate and required one staff person to feed her all of her meal during the 7-day look-back period."

Example No. 2: "Coding: G0110H1 would be coded 4, total dependence. G0110H2 would be coded 2, one person physical assist.

Rationale: During the 7-day look-back period, she did not participate in eating and/or receiving of her tube feed during the entire period. She required full staff performance of these functions."

Source: Printed verbatim from the RAI User's Manual.

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