I think it depends on the goal and how it is that you are phrasing it. If you said with 80% accuracy or it is a caregiver goal where you are training them and you want them to have 95% return demonstration, you can clearly show in your documentation a number of trials and how they are performing. I think where it gets a little tricky with percentages is if you are trying to break down min, mod, or max assist to a percentage. Realistically, what is the difference between 25% physical assist and 30%? I think if you are focusing it on trials or the number of times that you are giving verbal cues, I do not think it is a horrible thing. I have not seen that Medicare has specifically denied based on percentages.
Kathleen Weissberg, OTD, OTR/L
Dr. Kathleen Weissberg, (MS in OT, 1993; Doctoral 2014) in her 25+ years of practice, has worked in rehabilitation and long-term care as an executive, researcher and educator. She has established numerous programs in nursing facilities; authored peer-reviewed publications on topics such as low vision, dementia quality care, and wellness; has spoken at numerous conferences both nationally and internationally, for 20+ State Health Care Associations, and for 25+ state LeadingAge affiliates. She provides continuing education support to over 17,000 therapists, nurses, and administrators nationwide as National Director of Education for Select Rehabilitation. She is a Certified Dementia Care Practitioner and a Certified Montessori Dementia Care Practitioner. She serves as the Region 1 Director for the American Occupational Therapy Association Political Affairs Affiliates and is an adjunct professor at both Chatham University in Pittsburgh, PA and Gannon University in Erie, PA.
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