ADL (Activities of Daily Living) Coding is always a beneficial topic of discussion given the blow incorrect coding can have on reimbursement and quality of care. Typically, this miscoding starts with a misunderstanding of the definitions on the amount of assistance provided by the caregiver. Thus, it is imperative that facility staff (inclusive of the nurse assistants, therapists and nurses) fully understands the intent of each level of assist provided on the MDS. It is extremely common for patients to be erroneously coded into the wrong category. Of interest, the two levels seemingly with the most confusion are Limited Assistance and Extensive Assistance.