So we're coming into the home stretch so I just wanted to sort of recap and sort
of go over with you some of what I see are like the big takeaways thinking
about Section GG
so first of all when you're doing the admission functional assessment
you know again you want to allow the patient to perform the activity as
independently as possible when you assess them but certainly make sure that
they're safe, right? If not, it would either be that it's not a big could be an
item that's not applicable to them or it could also be an item that the that's
going to be 88 and you're not going to code during because of safety or a
medical condition.
So when you're thinking about the assessment
I think one thing is you know it's before the therapy begins right and
the goal is that you're not trying to get them to have their best performance
or worse performance of an average and then you're going to do this calculation
because you're doing it, you know five different times whatever but just step
back and think what you're really trying to collect information about is the
patient’s baseline and you know more than anything else if you just I think
keep that in mind
that's the most important thing Also the question again how many
times you can assess your functional assessment is completed
once you're going to do that once and lastly I think another just an important
thing to think about is you know we had a great question about a patient that
the assistance they received was literally 50 50 and again just step back
and and think about you know your clinical knowledge and experience
nothing can beat that so just always feel comfortable using your clinical judgement
I mean that you're providing an assessment
it isn’t, you know to sort of a real quick Rubik's Cube that you know you
oh I gotta get it you know
if I don't answer it this way then that's going to be wrong, but you're
trying to give your best clinical judgment based on the information that
you have
So that's my wrap up thank you very much
Ok, so I'm going to wrap up Section I and answer some of the questions that I had
said that I would check with my colleagues with and just give you some
more definitive answers. So, little bit about Section I versus Section 24 there was
questions about specific examples of how they would be different
so Section I is a three-day assessment period
it goes until 11:59 on day three
so if your physician has not documented an active diagnosis by 11:59 of day
three
you are not checking any of those boxes except for none of the above
if on day five of your patients stay
they have a consult or the physician then diagnosis one of those active diagnoses
you will have a most likely an icd-9 icd-10 code that would go in Section 24
but you will not go back and check the box because it's after your three-day
assessment period is that clarifying of why they're different roles
ok and again what I want to reiterate is Section 24 has its own rules
so please refer to those of of when you capture icd-10 codes and then Section I
has their own
so just don't think that it's always going to be the same across the board
another question was about specific interventions for peripheral artery
disease or peripheral vascular disease
besides monitoring pedal pulses
so again I would say refer to your physician documentation
what is the physician saying about the active diagnoses he's a he or she is the
one that is developing that plan that we are all then carrying
out so it could be something like medication aspirin or any other
anti-platelet medications and possibly an antI coagulation and only talking about
elevating the lower extremities to reduce swelling things like that
so again they're probably has a list of 75 different interventions that could be
used for all of those different diagnoses refer to your physician
they should be the ones that are saying that its active and then Section I the
documentation
each state has different licensure laws about who is considered a able to
document and when where things can be captured from so you need to refer to
your state licensure laws as to where you can pull it from and that's it.