Breaking the ADL Code: A Team Approach to MDS 3.0 Documentation


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Don't let inaccurate ADL scoring hinder your reimbursement under MDS 3.0

ADL documentation made easy for CNAs, RNs, and MDS coordinators
Use this comprehensive, 20-minute video to train your entire nursing team - CNAs, RNs, and MDS coordinators - on the new ADL documentation requirements under the MDS 3.0, effective October 1, 2010.

Familiar scenarios illustrate the ADL coding changes, provide concrete examples of each level of scoring, and walk CNAs and RNs through the correct ways to code the four late-loss ADLs. In addition, MDS coordinators will discover how to tabulate the ADL scores of each resident to come up with the final ADL codes, which ultimately determine reimbursement.

• Recognize correct practices for ADL documentation under the MDS 3.0
• Learn to accurately code resident dependencies to ensure proper reimbursement
• Discover how to accurately tabulate all ADL scores for both the self-performance and support provided categories to determine your level of reimbursement
• Reconcile discrepancies between CNA scoring and therapy session observations
• Measure and document staff retention of concepts with a comprehension quiz
• Save time and money by training all levels of nursing staff in an individual or group setting

Table of Contents

• The Facts: What You Need to Know About ADL Coding in the MDS 3.0
– Section G of the MDS 3.0 and the ADL Coding Categories
– Self-performance
– Support-provided
• The Application: Observing and Recording ADLs
– Late-Loss ADLs
– Transfers
– Bed mobility
– Eating
– Toilet use
• The Documentation: Reporting ADLs
– Collaboration and Communication
– Reading a Flow Sheet and Compiling Instances in the Assessment Period
– Documenting ADL Scores in the MDS 3.0
• Review of Responsibilities for CNAs, RNs, and MDS Coordinators

Tools and Forms
The DVD also includes a set of valuable tools that you can download and distribute to your staff, including:

• A comprehensive quiz to reinforce and test staff retention of the material presented in the video
• An achievement certificate to document training
• A printable "cheat sheet" of definitions that staff can refer to when completing documentation
• The latest CMS flow chart instructions for scoring ADLs

Reviewed by:
Diane Brown is a long-term care educator, editor, and author with more than 25 years of operational experience in healthcare. In her current role at HCPro, she develops quality educational programs and investigates new opportunities for business development. She is a regulatory specialist, lead instructor for HCPro's Five-Star Quality Rating Boot Camp for Long-Term Care, and an instructor for HCPro's Medicare Boot Camp for Long-Term Care. Her strong leadership, problem-solving, and team-building skills communicate possibilities, define innovative solutions, and motivate for outcomes. She frequently lectures on MDS, SNF PPS, documentation, survey compliance, Medicare, and other healthcare topics.

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