Step-By-Step Coding Guide for GG0170: Mobility

Objective: To accurately capture a resident's mobility performance over a specific 3-day assessment period at discharge. Key Points:

• This section focuses on various mobility tasks and the resident's ability to perform them.
• Mobility assessment plays a critical role in planning care and determining the need for services post-discharge.

Understanding the Components

Objective: Break down the components of GG0170: Mobility. Key Points:

• GG0170 covers several mobility tasks, including bed mobility, transfers, walking, and steps.
• Each task is assessed based on the resident's ability, with codes ranging from independent (Code 06) to total dependence (Code 01).

The Assessment Process

Objective: Outline the process of assessing GG0170. Key Points:

• Observe the resident performing each task, if safe and feasible, during the 3-day assessment period.
• Consult with the care team to gather observations on the resident's performance.
• Assess based on usual performance, considering any assistance required.

Coding and Documentation

Objective: Teach accurate coding and documentation for GG0170. Key Points:

• Code each task based on the resident's performance using the 6-point scale or the activity not attempted codes.
• Document specific reasons if a task was not attempted, such as medical condition or environmental limitations.
• Ensure documentation supports the coding, including details on the type of assistance provided.

Common Errors and Best Practices

Objective: Highlight common errors and provide best practices. Key Points:

• Avoid coding based on the resident's potential capabilities; code based on actual performance.
• Ensure consistency between observed performance and coding.
• Validate coding with multiple staff observations when possible.

Practical Applications

Objective: Apply knowledge through practical examples. Key Points:

• Conduct interdisciplinary team discussions to review observations and ensure accurate coding.
• Utilize case studies for staff training on how to observe and code GG0170 accurately.

Resources for Further Learning

Objective: Direct learners to additional resources. Key Points:

• Refer to CMS's RAI User’s Manual for detailed guidance and coding instructions.
• Engage in CMS training webinars and workshops for updates on coding practices.

Q&A and Interactive Session

Objective: Clarify doubts and answer specific questions. Interactive Discussion: Engage with staff to address their queries about coding GG0170 and discuss complex cases.

The Step-by-Step Coding Guide for item GG0170 in MDS 3.0 Section GG is based on the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.18.11, dated October 2023. Healthcare guidelines, policies, and regulations can undergo frequent updates. Therefore, healthcare professionals must ensure they are referencing the most current version of the MDS 3.0 manual. This guide aims to assist with understanding and applying the coding procedures as outlined in the referenced manual version. However, in cases where there are updates or changes to the manual after the mentioned date, users should refer to the latest version of the manual for the most accurate and up-to-date information. The guide should not substitute for professional judgment and the consultation of the latest regulatory guidelines in the healthcare field.