(gentle piano music)
- [Narrator] In this provider training
video we will demonstrate how to assess item GG0170C
Lying to sitting on side of bed
using two different coding scenarios.
Remember, these items are coded to reflect a patient's,
or resident's, usual performance during the assessment.
Lying to sitting on side of bed,
is defined as 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.
Let's assess Mrs. Brown's admission performance
as she tries to move from lying to sitting on the
side of the bed, in order to accurately code GG0170C.
- [Clinician] Hi Mrs. Brown, how are you today?
- I'm doing a little better thanks.
- Good, can you come sit on the side of the bed for me?
- It's hard, but I'll try.
- Looks like you're struggling a bit, can I help you?
- Yes, thanks.
- Okay first let me have you try and lie on your side.
Great, now put your hand on the bed and push yourself up.
As you do that I'm gonna put my hand on your upper back
and arm and swing your legs until
you're in a seated position, is that okay?
- Sure, let's give it a try.
- Good Job.
- [ Mrs. Brown] Thanks.
- [Narrator] How would you code Mrs. Brown's
Admission or Start of Care Performance for GG0170C,
lying to sitting on side of bed?
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 Mrs. Brown's
Admission or Start of Care Performance for GG0170C
lying to sitting on side of bed,
is 02 Substantial/maximal assistance.
Mrs. Brown required the clinician to provide
lifting and physical assistance that
represents more than half of the effort
to complete the activity of moving from lying
on her back, to sitting on the side of the bed.
As a result, you would code this
item 02, Substantial/maximal assistance.
Now, let's review a second coding example
of Mrs. Brown's performance as she tries to move
from lying to sitting on the side of the bed,
in order to accurately code GG0170C.
- [Clinician] Hi Mrs. Brown, how are you today?
- I'm doing a little better, thanks.
- Good, can you come sit on the side of the bed for me?
- It's hard, but I'll try,
Could you help with my legs?
- Of course.
Good job.
- [Mrs. Brown] Thank you.
- [Narrator] How would you code Mrs. Brown's
Admission or Start of Care Performance for GG0170C
lying to sitting on side of bed?
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 Mrs. Brown's Admission
or Start of Care Performance for GG0170C
lying to sitting on side of bed
is 03 Partial/moderate assistance.
As Mrs. Brown began to move to a seated position,
the clinician assisted with pivoting
Mrs. Brown's legs to the side of the bed.
Mrs. Brown required the helper to provide assistance
with lifting her legs, which represents
Partial/moderate assistance with the
activity lying to sitting on side of bed.
This video demonstrated coding for item GG0170C
lying to sitting on side of bed,
based on the type and amount of assistance
provided by a helper to complete the activity.
The first scenario demonstrated an example
of Code 02 Substantial/maximal assistance.
The second scenario demonstrated an example
of Code 03 Partial/moderate 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.