Sally
[EMAIL PROTECTED] wrote:
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
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