ADL Category
ADL Index
OMRAS
Interviews
Letters
100
I do everything for the resident to do the task
What is complete assistance/ total support
100
Bed Mobility extensive assistance or total dependence 2 person assist
What is 4
100
Has Rolling observation
What is Change of Therapy observation
100
"I am going to say three words for you to remember."
What is sock,blue and bed
100
NYS QIO
What is IPRO
200
The nurse supported the resident's back while giving the medication in their w/c; sometimes they sleep in it
What is bed mobility
200
Eating independent with setup
What is 0 (zero)
200
ARD for EOT OMRA
What is day 1,2, or 3
200
Number to enter if resident is unable to complete the interview
What is 99
200
Gives the patient the option to Demand Bill.
What is Denial Letter
300
The nurses aide placed my feet back up on my foot rest in the geri chair
What is transfer with extensive support
300
Bed mobility,transfers,toilet use and eating
What is late loss ADLs
300
EOT is needed when missed therapy for any reason
What is 3 Days
300
4 interviews
What is PHQ-9,BIMS,Pain and Preferences for Customary Routine and Activities
300
Medicare beneficiaries have been given the option to receive a fast tracked decision when they request to appeal the end of their Medicare coverage in a Skilled Nursing Facility
What is Expedited Determination or Expedited Review
400
A gait belt was used for support
What is extensive assistance
400
The resident is assisted by the nurse & aide to turn and position every two hours during the night shift. Each time they offered the resident something to drink. An held and guided the cup to their lips so not to spill as they drunk from the cup.Twice they assisted with placing the resident on the bed pan who wears an adult brief at night.
What is bed mobility = 4; toilet use = 4; eating = 4 Total 12 for night shift.
400
Must occur no more than five days after the last day of therapy provided
What is EOT R
400
The two interviews that have no look back period
What is BIMS and preferences for customary routine
400
Must be delivered at least 48 hours prior to last covered day of Medicare.
What is Generic Notice
500
The ADL Activity was not performed by the resident or staff at all
What is CODE 8
500
Resident eats pleasure foods for 3 meals 25% each plus two supplements. Gets 1000 cc tube feeding.
What is extensive assistance = 3
500
EOT-R does not require two items
What is New Therapy evaluation and SOT OMRA
500
Interviews must be done on day before or ARD
What is PHQ-9 and Pain
500
Beneficiary requests an Expedited Review after receiving the Generic Notice
What is Detailed Notice
M
e
n
u