With section GG replacing Section G in October, will CNA ADL charting go away?


CMS posted a new DRAFT version of the 2020 MDS item sets (v1.18.0) on December 20, 2019 in which Section G has been removed from all Federal item sets.  This will help eliminate the coding misunderstandings between section G & GG and place ADL evaluation solely in the hands of “qualified clinicians.”  Section G is still a component of the Optional State Assessment (OSA) which some case-mix states are, or will eventually be using to continue RUG-based payments for Medicaid recipients. Please contact your state Medicaid agency for further guidance before ceasing any Section G ADL documentation practices.


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Blog by Eleisha Wilkes, RN, RAC-CT, RAC-CTA, Proactive Medical Review

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