Functional ADL Section GG

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Trace DC88-11

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1. Purpose and clinical relevance

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10. Audit, denial and survey risks

The domain’s common Part A denial patterns and the F-tag(s) it is surveyed under. The full catalog lives in Denial Patterns.

Risk

Why it fails

Corrected pattern

GG not item-level

ADLs summarized, not captured per GG item.

Document usual performance per GG item across shifts. (F641.)

Decline not assessed

A change captured but not clinically assessed.

Assess the change, identify the cause, notify, and revise. (F676/F677.)

Inconsistent data

Nursing and therapy disagree on function.

Reconcile usual performance across disciplines. (F641.)

Function score unsupported

PDPM function score not backed by the record.

Ensure GG documentation supports the coded score.

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