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DC108 Accurate ADL Coding
Description: In this module the learner will develop an understanding of how resident care, quality reporting, Medicare and Medicaid case mixes and payment rates are impacted by the Activities of Daily Living (ADLs), and how to manage for ADL coding accuracy.
You will learn:
108.1. Explain the importance of accurate ADL coding.
108.1.1. Describe how accurate ADL coding leads to improved resident care.
108.1.2. Describe how inaccurate ADL coding creates false assumptions about the quality of care.
108.1.3. Describe the relationship between ADL data and case mix.
108.1.4. Define the relationship between ADL coding and payment.
108.1.5. Identify four major elements currently using the ADL data submitted by your facility.
108.2. Discuss the requirements for accurate ADL coding.
108.2.1. Name the source document for accurate coding.
108.2.2. Define Self-Performance.
108.2.3. Define Support.
108.2.4. Define Set-Up.
108.2.5. State the number of times a specific level of assistance is required to qualify the resident for each Self-Performance category.
108.2.6. List the four questions required to obtain accurate ADL data.
108.3. Define the components of the four late loss ADLs.
108.3.1. List the four late loss ADLs.
108.3.2. Define the components of Bed Mobility.
108.3.3. Define the components of Eating.
108.3.4. Define the components of Transfer.
108.3.5. Define the components of Toileting.
108.4. Discuss obstacles to obtaining accurate ADL data collection.
108.4.1. List at least one common flaw in two data collection products.
108.4.2. Identify the discipline most likely to provide accurate ADL data.
14.4.3. Describe three steps to take to overcome the obstacles in accurate ADL data collection.
108.5. Generate an action plan for collecting accurate ADL data.
108.5.1. Describe the basic elements of process improvement.
108.5.2. Describe a new employee orientation program to encourage accurate ADL coding.
108.5.3. Identify the components of a policy and procedure to assure consistently accurate ADL coding.
108.5.4. Identify four data collection tools you will use to assure accurate ADL coding.
