Coding GG0130A. Eating
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(lively music) – [Instructor] In this
provider training video, we will demonstrate how to
assess item GG0130A. Eating, using two different coding scenarios. Remember, this item is
coded to reflect a patient’s or resident’s usual performance. Eating is defined 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 the patient or resident. Let’s assess Ms. Baker’s
admission performance for eating in order to accurately code GG0130A. Good morning, Ms. Baker, I
brought you your breakfast. Good morning, Mary, thank you. How are you feeling today? I’m doing okay. I’m hungry. (giggles) Really looking forward to breakfast. Oh, could you bring me some
milk and sugar for my coffee? I forgot to ask for that. Sure thing, I’m glad to
see you have an appetite. My daughter is bringing my grandson over for a visit today. I’m so excited to be seeing them. I can’t believe he’s
turning six next week. That’s great to hear. You seem to be having difficulty
opening the butter packet. Do you need some help with that? Yes, please. I’ve been so weak since the accident, but I seem to be improving. Yes, you are improving. Here you go. Oh, thank you. I seem to be having trouble with this too. Do you need my help opening that? Yes, please. These sugar packets are so tough to open. They can be. Thank you for all your help. I think that I’m set for now. Okay Ms. Baker, enjoy your breakfast, and I’ll be back with your meds. – [Instructor] How would you code Ms. Baker’s admission
performance for GG0130A. Eating? 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.
Baker’s admission performance for GG0130A. Eating, 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. Prior to beginning her breakfast, Ms. Baker required the nurse
to provide setup assistance by opening the butter and sugar packets due to weakness in her fingers and hands. As a result, you would code this item, 05 Setup or clean-up assistance. Now, let’s review a second coding example, assessing Ms. Baker’s admission
performance for eating in order to accurately code GG0130A. Good morning, Ms. Baker. I see you have your breakfast. I have brought your
thickener for your juice. Good morning, Mary, thank you. How did you sleep last night? Much better, thank you. Do you happen to know when
I’ll be starting therapy? Let me check. I think you start tomorrow. I can call and double-check it for you. No, no need to. (coughing) Are you okay?
(Ms. Baker coughing) Let’s take a minute. Oh my, excuse me. I’m so sorry. I’m trying to get used to
the swallowing instructions the speech therapist
gave me in the hospital, but I still find myself coughing and sometimes choking a little when I eat. Okay, let’s talk about those. Tell me what you know about
your swallowing instructions. Well, I’m not supposed
to shovel a huge forkful of food into my mouth, and I shouldn’t be
talking when I’m chewing. That’s rude, of course. And I should tuck my
chin when I’m swallowing. Okay, that’s right. Go ahead and continue eating. I’ll be right here if you need help. Yes, that’s right. Good job, Ms. Baker. Good. – [Instructor] How would
you code Ms. Baker’s admission performance for GG0130A. Eating? 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.
Baker’s admission performance for GG0130A. Eating, is 04
Supervision or touching assistance. Supervision or touching
assistance is defined as when the helper provides
verbal cues and/or touching, steadying, and/or contact guard assistance as the patient or resident
completes the activity. Assistance may be provided throughout the activity or intermittently. In this scenario, the nurse assessed that the patient required
supervision while eating. Beyond the supervision, no
physical support or instruction was provided by the nurse to the patient to complete the eating activity. Due to the supervision
provided by the nurse, GG0130A. Eating, would
be coded 04 Supervision or touching assistance. This video demonstrated coding
for item GG0130A. Eating, based on the type and amount
of assistance provided by a nurse to complete the activity. The first scenario demonstrated an example of Code 05 Setup or clean-up assistance. The second scenario provided an example of Code 04 Supervision
or touching 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.

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