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Do your staff understand the difference between \u2018Partial\/moderate\u2019 and \u2018Substantial\/maximal\u2019\u00a0<\/em><\/strong>assistance when scoring mobility?<\/em><\/strong><\/span><\/p>\n In OASIS-D, the\u00a0Centers for Medicare & Medicaid Services\u00a0<\/strong>proposes that clinicians score the following abilities based on this scale for the newly expanded GG0170 (Mobility):<\/p>\n 06.\u00a0Independent\u00a0<\/strong>\u2013 Patient completes the activity by him\/herself with no assistance from a helper.<\/p>\n 05.\u00a0Setup or clean-up assistance \u2013\u00a0<\/strong>Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.<\/p>\n 04.\u00a0Supervision or touching assistance \u2013\u00a0<\/strong>Helper provides verbal cues and\/or touching\/steadying and\/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.<\/p>\n 03.\u00a0Partial\/moderate assistance \u2013\u00a0<\/strong>Helper does LESS THAN HALF the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort.<\/p>\n 02.\u00a0Substantial\/maximal assistance \u2013\u00a0<\/strong>Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.<\/p>\n 01.\u00a0Dependent \u2013\u00a0<\/strong>Helper does ALL of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.<\/p>\n If activity was not attempted, code reason:\u00a0<\/strong>07.\u00a0Patient refused;\u00a0<\/strong>09.\u00a0Not applicable\u00a0<\/strong>\u2013 Not attempted and the patient did not perform this activity prior to the current illness, exacerbation or injury; 10.\u00a0Not attempted\u00a0<\/strong>due to environmental limitations (e.g., lack of equipment, weather constraints); or 88.\u00a0Not attempted\u00a0<\/strong>due to medical conditions or safety concerns.<\/p>\n A. Roll left and right:\u00a0<\/strong>The ability to roll from lying on back to left and right side, and return to lying on back on the bed.<\/p>\n B. Sit to lying:\u00a0<\/strong>The ability to move from sitting on side of bed to lying flat on the bed.<\/p>\n C. Lying to sitting on side of bed:\u00a0<\/strong>The ability to move from lying on the back to sitting on the side of the bed with feet flat on the floor, and with no back support.<\/p>\n D. Sit to stand:\u00a0<\/strong>The ability to come to a standing position from sitting in a chair, wheelchair, or on the side of the bed.<\/p>\n E. Chair\/bed-to-chair transfer:\u00a0<\/strong>The ability to transfer to and from a bed to a chair (or wheelchair).<\/p>\n F. Toilet transfer:\u00a0<\/strong>The ability to get on and off a toilet or commode.<\/p>\n G. Car Transfer:\u00a0<\/strong>The ability to transfer in and out of a car or van on the passenger side. Does not include the ability to open\/close door or fasten seat belt.<\/p>\n I. Walk 10 feet:\u00a0<\/strong>Once standing, the ability to walk at least 10 feet in a room, corridor, or similar space.\u00a0If SOC\/ROC performance is coded 07, 09, 10 or 88\u00a0<\/em>?<\/em><\/strong>skip to GG0170M, 1 step (curb)<\/p>\n J. Walk 50 feet with two turns:\u00a0<\/strong>Once standing, the ability to walk 50 feet and make two turns.<\/p>\n K. Walk 150 feet:\u00a0<\/strong>Once standing, the ability to walk at least 150 feet in a corridor or similar space.<\/p>\n L. Walking 10 feet on uneven surfaces:\u00a0<\/strong>The ability to walk 10 feet on uneven or sloping surfaces (indoor or outdoor), such as turf or gravel.<\/p>\n M. 1 step (curb):\u00a0<\/strong>The ability to go up and down a curb and\/or up and down one step.<\/p>\n Source:\u00a0<\/strong>OASIS-D draft at at\u00a0www.cms.gov\/Regulations-and-Guidance\/Legislation\/PaperworkReductionActof1995\/PRA-Listing-Items\/CMS-10545.html<\/a>.<\/p>\n Source- SuperCoder25<\/span><\/i><\/a><\/p>\n","protected":false},"excerpt":{"rendered":" Do your staff understand the difference between \u2018Partial\/moderate\u2019 and \u2018Substantial\/maximal\u2019\u00a0assistance when scoring mobility? In OASIS-D, the\u00a0Centers for Medicare & Medicaid Services\u00a0proposes that clinicians score the following abilities based on this … Continue Reading →<\/a><\/p>\n","protected":false},"author":1,"featured_media":189,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8],"tags":[11,12,13,14],"class_list":["post-187","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance","tag-home-care","tag-hospice","tag-ltc","tag-snf"],"_links":{"self":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts\/187","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/comments?post=187"}],"version-history":[{"count":3,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts\/187\/revisions"}],"predecessor-version":[{"id":191,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts\/187\/revisions\/191"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/media\/189"}],"wp:attachment":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/media?parent=187"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/categories?post=187"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/tags?post=187"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}