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Excellent point. Fortunately our rehab staff is on staff. More interestingly, I have been working a few night shifts this past week to help orient a new RN (one of those things not in my job description!) and have been fascinated to check my e-mail and discover I am not the only idiot in an administrative type position working at this ungodly hour!!!!! Ha!!
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After all the discussion last week of obtaining an extensive rugs category with ARD of day 1 and then therapy not evaluating and picking up until day 2-3, I have looked into this and discovered some interesting news which may pertain to a lot of you.
With the therapy rugs categories, a therapy component is built into the reimbursement of each rehab category which means there is a set amount of funds that therapy and nursing receives each day. If you have a resident in a nonrehab category and therapy is treating them, then there is no component built in for therapy reimbursement. Granted that the extensive categories are more reimbursement than the rehab high, medium, or low, but, per our therapy contract, if the resident is not in a rehab rugs setting with the built-in component, then we are charged so much per unit (15 minutes). When I started figuring out these charges, I was astounded. This would not out a lot of our monies made. It would not hurt us significantly if the resident was in an extensive category and therapy picked them up to capture a rehab rugs for the 14 day assessment, but, if we had to pay this therapy charge out of funds collected for an extensive category for days 1-14, it would hurt us significantly. For our reimbursement, there is only $15.76 difference between a SE3 and RHC rugs rate daily.
All I am saying is to check your contracts!!!!!
Brenda W. Chance, RN, RAC-C MDS Coordinator
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