(upbeat piano music)
In this provider training video,
we will demonstrate how to assess item GG0170P.
Picking up object, using two different coding scenarios.
Remember, this item is coded
at both the admission and discharge.
Picking up object is defined as the ability to bend/stoop
from a standing position to pick up a small object,
such as a spoon, from the floor.
Let's assess Ms. Kay's admission performance
for picking up an object
in order to accurately code GG0170P.
- I have been looking forward to this all day.
I didn't know there was gonna be bingo.
I'm glad we came early to get a good spot.
(case clattering)
Oh, well that was clumsy.
Let me use my reacher to get it.
- Okay, I can help if you need it.
- Well, this used to happen all the time.
Glad I have this reacher.
Oh!
Oh, oh I guess I'm not as steady as I used to be.
- I can help steady you.
- Anything to keep me from toppling over.
Thanks for your help.
- No problem.
These are the types of things
we want to be able to see you do safely.
- Agreed, now onto bingo.
Wish me luck.
- Good luck, Ms. Kay.
- How would you code Ms. Kay's
admission performance for GG0170P. Picking up object?
Code 06, Independent;
Code 05, Setup or clean-up assistance;
Code 04, Supervision or touching assistance;
Code 03, Partial/moderate assistance;
Code 02, Substantial/maximal assistance;
or Code 01, Dependent.
The correct answer for Ms. Kay's admission performance
for GG0170P. Picking up object,
is 03, Partial/moderate assistance.
Partial/moderate assistance is defined as
when a helper does less than half of the effort.
The helper lifts, holds, or supports the patient's
or resident's trunk or limbs,
but provides less than half the effort.
Ms. Kay required the nurse
to provide less than half of the effort
as she reached to pick up an object from the floor.
As a result, you would code this item
03, Partial/moderate assistance.
After admission, in many circumstances,
a patient or a resident will receive nursing
and/or therapy services
with the goal of improving functional status.
An assessment of functional status related to mobility
is typically completed at discharge.
Now let's review a second coding example,
assessing Ms. Kay's discharge performance
for picking up an object
in order to accurately code GG0170P.
- Hi Nancy.
Catching up on work?
- Oh hi Ms. Kay, indeed.
Are you finding your lucky bingo spot?
- Oh you got that right.
I won last week.
Gotta keep that streak going.
(case thudding)
Oh geez, there I go dropping things again.
- You need a hand?
- No, no, I got it.
Oh, I thought my reacher was in here.
Could you get it for me?
I'm a little winded.
I think I left it back where I was sitting.
- No problem, you take a minute.
I'll go grab the reacher for you.
- Oh, I'll be fine.
Just moving those chairs got me a little out of breath.
- Here you go, Ms. Kay.
Are you okay?
- I'm fine, really.
Much better, really, compared to a few weeks ago.
- Yes, you've made some really good progress,
much stronger already.
- Yes, especially with the help of little tools like this.
- How would you code Ms. Kay's
discharge performance for GG170P. Picking up object?
Code 06, Independent;
Code 05, Setup or clean-up assistance;
Code 04, Supervision or touching assistance;
Code 03, Partial/moderate assistance;
Code 02, Substantial/maximal assistance;
or Code 01, Dependent.
The correct answer for Ms. Kay's discharge performance
for GG0170P. Picking up object,
is 05, Setup or clean-up assistance.
Setup or clean-up assistance is defined as when a helper
sets up or cleans up and the patient or resident
completes the activity.
The helper assists only prior to or following the activity.
In this scenario, Ms. Kay required the nurse
to retrieve her reacher in order to complete the activity
of picking up an object.
The retrieving of an assistive device
for a patient or resident to complete an activity
is considered setup assistance.
Beyond this assistance, no physical support
or instruction was provided by the nurse.
Due to the setup provided by the nurse,
GG0170P. Picking up object,
would be coded 05, Setup or clean-up assistance.
This video demonstrated coding for item GG0170P.
Picking up object,
based on the type and amount of assistance
provided by a nurse to complete the activity.
The video captured a patient's or resident's performance
first at admission and then at discharge.
In these scenarios, Ms. Kay demonstrated
improved performance in this mobility activity.
The first scenario demonstrated an example
of Code 03, Partial/moderate assistance.
The second scenario provided an example
of Code 05, Setup or clean-up assistance.
We hope you found this video helpful.
For more information on coding Section GG,
refer to your setting-specific guidance manual,
which can be found on the CMS website.