What is section GG in nursing?
Section GG is a set of standardized patient assessment elements that the Improving Post-Acute Care Transformation Act (IMPACT) mandated for collection in all post-acute care settings. The items are meant to measure functional changes in self-care and mobility and will be publicly reported in the near future.
Should section GG be completed on Medicare a PPS patients?
A: Section GG must be completed on Medicare A PPS patients. Q: Should Section GG only be completed once? A: No. Section GG must be completed on the Evaluation, as well as the planned Discharge. Q: In what context should Section GG MDS be completed? (Many patients perform better in a therapy setting than they do in a nursing unit.)
What is a GG code for nursing home?
First, GG codes are a portion of the CMS, Resident Assessment Instrument, or RAI. According to the Centers for Medicare & Medicaid Services, Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual: Version 1.16.
What are Section G and GG in the MDS?
The MDS is broken into multiple subsections labeled A – Z. Sections G and GG relate to Functional Status and Functional Abilities & Goals, respectively. These sections are defined on pages 3-5 of the Centers for Medicare & Medicaid Services, Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual.
What is a GG code?
First, GG codes are a portion of the CMS, Resident Assessment Instrument, or RAI. According to the Centers for Medicare & Medicaid Services, Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual: Version 1.16.
What is the difference between Section G and Section GG?
Section G: The guidance is to code the most amount of assistance provided within a 7 day look-back. In Section GG: Guidelines are to code the baseline performance ability within the first three days following admission and before treatment begins.
What is Section GG on MDS?
SECTION GG: FUNCTIONAL ABILITIES AND GOALS Intent: This section includes items about functional abilities and goals. It includes items. focused on prior function, admission performance, discharge goals, and discharge performance.
What is GG in PDPM?
Under PDPM, Section GG will now be used to determine functional scores and will impact reimbursement through the case mix index weight. Section GG is going to be used to determine a separate ADL score for Nursing and Therapy, which will impact reimbursement under PDPM, as of 10/1/19.
Is section GG an assessment?
Section GG is utilized across all post-acute care (PAC) settings by Medicare (CMS). While Section GG is a standardized assessment, other assessments can and should be utilized during a comprehensive occupational therapy evaluation.
When should the GG tab be completed?
For an eval only that is completed at least 2 days after the facility admission, Rehab Optima will require an admission GG assessment and discharge GG assessment to be completed. For this situation enter dashes in all performance areas.
What are GG items?
It means godly good. Barry wrote: Actually GG was used as a descriptor for items in Diablo 2. It means godly good.
How do I use a GG code?
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Is GG the same as care tool?
A: No. Section GG is required by CMS but the CARE Item Set is not. Section GG does contain CARE items, which is why some therapy providers are choosing to require staff to complete the CARE Item Set as well.
What is GG functional score?
Section GG scoring states that the higher the score, the more independent the resident is. Additionally in section GG, several items are combined to determine an average score.
What are the requirements for coding discharge goals for Section GG?
Discharge goals may be determined based on the resident's admission functional status, prior functioning, medical conditions/comorbidities, discussions with the resident and family, and the clinician's consideration of expected treatments, and resident's motivation to improve.
What are the 6 components of PDPM?
In the PDPM, there are five case-mix adjusted components: Physical Therapy (PT), Occupational Therapy (OT), Speech-Language Pathology (SLP), Non-Therapy Ancillary (NTA), and Nursing. Each resident is to be classified into one and only one group for each of the five case-mix adjusted components.
What does GG mean in nursing?
Section GG is a standardized assessment utilized by the Centers for Medicare and Medicaid Services (CMS) in post-acute care settings. The assessment measures a patient's need for assistance with self-care and mobility while also documenting the patient's prior level of function.
What is GG functional score?
Section GG scoring states that the higher the score, the more independent the resident is. Additionally in section GG, several items are combined to determine an average score.
What are the requirements for coding discharge goals for Section GG?
Discharge goals may be determined based on the resident's admission functional status, prior functioning, medical conditions/comorbidities, discussions with the resident and family, and the clinician's consideration of expected treatments, and resident's motivation to improve.
What is the time frame for the admission performance period for section GG0130 and GG0170?
three-dayGG0130 Self-Care and GG0170 Mobility Steps for Assessment Assess the resident's performance based on direct observation, incorporating resident self-reports and reports from qualified clinicians, care staff, or family documented in the resident's medical record during the three-day assessment period.
What is Section G guidance?
Section G: The guidance is to code the most amount of assistance provided within a 7 day look-back.
Is feeding tube considered a section GG?
Guidelines instruct to score admission performance and discharge goal for “Eating” as: The ability to use suitable utensils, to bring food and/or liquid to the mouth, and swallow food and/or liquid once the meal is placed before a resident. Intake via feeding tube is not a consideration in Section GG, as it is in Section G.
Who is supposed to report and enter information into Section GG?
CMS expects that MDS data will be collected and entered by Qualified Clinicians. CMS describes who the Qualified Clinician is on page GG-9 of the Centers for Medicare & Medicaid Services, Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual. Version 1.16. October 2018: “…Healthcare professionals practicing within their scope of practice and consistent with Federal, State, and local law and regulations”.
What is the purpose of MDS and GG codes?
MDS and GG codes help CMS understand the functional abilities and progress of patients receiving post-acute care. Data must be entered into the MDS by Qualified Clinicians. Historically, the MDS nursing staff entered this data, and the training material and RAI manual provided by CMS continue to utilize language that continues to support this practice; however, the definition of Qualified Clinician could allow a therapist to be the designated person to enter this data.
How long is the CMS assessment period?
CMS anticipates that an interdisciplinary team of qualified clinicians is involved in assessing the resident during the three-day assessment period.
Who is responsible for completing Section GG?
Thus, the SNF is ultimately responsible for completing Section GG. However, due to the nature of the requirements, all core staff (including therapy) working with patients will be affected.
How many alpha scores does Section GG have?
Section GG has three numeric score options that can be used to classify the reasons for an activity not being attempted, whereas the CARE Item Set has four alpha scores. Section GG includes a slightly different set of items than are used in the CARE Item Set.
What is the QRP measure?
This requirement is met by documenting at least one discharge goal item on Section GG for at least one self care or mobility item. The discharge goal does not have to be created by therapy (in some cases, that would not be appropriate) and should be based on results of the initial Section GG assessment and collaboration with the care plan team.
Do you have to complete GG on Medicare?
A: Section GG must be completed on Medicare A PPS patients.
Is GG required by CMS?
A: No. Section GG is required by CMS but the CARE Item Set is not. Section GG does contain CARE items, which is why some therapy providers are choosing to require staff to complete the CARE Item Set as well.