Re: Therapy minutes

[dfrias]

Dolores.....how about this little addition....   First day of treatment ALWYAS  has an additional 15-30 min. Hummmm sounds like a screen charge to me!  However, when asked the answer is...."first day of treatment always takes longer because we don't know the resident".    The Nose ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, November 03, 2003 1:53 AM Subject: Re: Therapy minutes This is correct.  However,  I have about ten clients that have NEVER had therapy documented other than in 15 minute increments.  And I have never had an FI question this in the last 24 years.  I have had therapy denials for other reasons, but not for this.  When are the fiscals, the OIG, CMS , etc., going to wake up to the rubber stamp therapy documentation?  Fractured femur with ORIF with pin or rod, or replacement Resident can be 65 or 95  doesn't matter. PT 5xwk  x30 days--if therapists work only 5 days a week PT 6xwk x30 days--if therapists work 6 days a week. Now I see very creative documentation.  They figure out the minute criteria for each RUGIIIgroup so we now have M            T            W              T           F        (S) 60          45           60             45       60        45 And no one questions this.  Comments? Delores Recording therapy minutes in 15 minute increments all the time can make reviewers very suspicious - now this may get more attention depending on the region. However, the PPS final rule addressed this issue and indicated that exact minutes spent treating were to be documented and not always in 5 or 10 minute increments. Also, the Part B therapy time is to be calculated based off of timed or service based codes, timed code units are to be calculated according to the provided rounding table ( i.e 8 to less than 23 minutes is one unit) and still the exact minutes documented. Delores L. Galias, RN, RHIT STATEMENT OF CONFIDENTIALITY: The information contained in this electronic message and any attachments to this message are intended for the exclusive use of the addressee(s) and may contain confidential or privileged information. If you are not the intended recipient, please notify D. Galias, RN, RHIT immediately at [EMAIL PROTECTED] and destroy all copies of this message and any attachments.  Thank you for your cooperation