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!!
-----Original
Message-----
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Brenda Chance
Sent: Monday, October 27, 2003 1:53
AM
To:
[EMAIL PROTECTED]
Subject: rugs
category and reimbursement
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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