Functional ADL Section GG

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Trace DC88-8

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1. Purpose and clinical relevance

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7. Skilled-need justification (SNF)

Map which Chapter 8 bases apply, then show the need is daily and can be met only in a SNF (the practical-matter test). This is what a coverage reviewer looks for on a Part A day.

Management & evaluation of the plan; observation & assessment

Section GG capture itself is a coding observation; the skilled element is assessing a functional change and managing the functional plan — recognizing decline, identifying the cause, and coordinating the response.

Rehabilitation nursing

Where a restorative program supports function, the RN design/evaluation is skilled (route to the Restorative reference).

Daily / practical-matter overlay

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