In alignment with this year’s theme, "Beneath the Surface: Uncovering What Really Moves Long-Term Care," our presentation dives deep into the engine of clinical and financial success: Section GG. While many view GG as a simple reimbursement checklist, looking beneath the surface reveals its profound impact on your facility’s Quality Measures, Discharge Function Scores, and Value-Based Purchasing outcomes. This session will peel back the layers of complex coding guidelines and documentation nuances to show you how a unified interdisciplinary approach can uncover your residents' true functional potential. Join us to transform your data into a powerful tool for driving superior outcomes, ensuring accurate reimbursement, and mastering the underlying forces that truly move the needle in resident-centered care.

Nurse Learner Outcome: 

Learner Objectives:

1. Analyze the impact of accurate and inaccurate Section GG coding on resident outcomes, Quality Measures (QRP), SNF Value-Based Purchasing (VBP), and PDPM reimbursement.
2. Apply CMS Section GG coding guidelines, including the 6-point functional scale and Activity Not Attempted (ANA) codes, to accurately assess and code residents' usual functional performance.
3. Differentiate appropriate from inappropriate Section GG documentation and coding practices by evaluating clinical scenarios and supporting documentation.
4. Develop interdisciplinary strategies that promote accurate Section GG assessment, documentation, and coding through effective collaboration among nursing, therapy, and MDS team members.
5. Implement Quality Assurance and Performance Improvement (QAPI) practices, including audits, staff education, and documentation review, to improve the accuracy of Section GG coding and functional outcome reporting.