Re: PPS schedule question

[Holly Sox, RN, RAC-C]

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Diane, That is a really easy mistake to make, particularly if you are "thrown into" the PPS role without adequate training.  I did PPS assessments for almost 6 months before I realized that days 30/60/90 were grace days.   I used to think that one day I would feel completely confident in my knowledge of this process. I now know how misguided I was to think that.   Holly Sox ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, November 12, 2003 12:57 PM Subject: RE: PPS schedule question Well, I guess that is my point.  I have been using day 30, day 60 and day 90 consistently for these assessments and didn't realize that day 30, day 60 and day 90 were considered grace days.  I should have been scheduling assessments on day 29, day 59 and day 89.  I, like everyone else, use grace days if we will get a better payment and well will consistently be treating at that RUG level and if the patient will benefit from the change in reference days to a grace day.   Diane R. Wierenga RN BSN RAC-C -----Original Message----- From: CAROLYN ORTTEL [mailto:[EMAIL PROTECTED] Sent: Wednesday, November 12, 2003 12:19 PM To: [EMAIL PROTECTED] Subject: RE: PPS schedule question   the red flags will rise only if you consisitently use grace days on everyone making it look like you aren't really checking on individual status of clients >>> [EMAIL PROTECTED] 11/12/03 11:05AM >>> I too have been doing my assessments on a rigid schedule of 5, 14, etc.  I had also been told that using grace days would raise red flags.  My FI ,Mutual of Omaha, stated that this was not so.  The grace days were there to take advantage of the best RUG possible.  Also have learned that by using day one or two of the stay as the ARD for the 5 day, you can capture hospital services that may put the resident into a higher paying category.  This has worked out well for me as I am very involved in the admission process.  Also another trick I have heard of is to look at the end splits r/t ADL performance.  On the first days of stay, residents generally require more assistance than they do on day 5 or later.  This can give you a higher paying RUG level for the first 15 days just based on the ADL score.   Kathy -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Tuesday, November 11, 2003 2:35 PM To: [EMAIL PROTECTED] Subject: PPS schedule question I have always been setting my 5 day assessment, 14 day assessment, 30 day assessment, 60 day assessment and 90 day assessment on the 5th, 14th, 30th, 60th and 90th day of a patients stay unless they are capable of being graced to other days.  I have been setting my schedule up using day 30, 60 and 90 since the initiation of PPS because that is the way I was trained to do it.  I recently had it brought to my attention that day 30-34, day 60-64 and day 90-94 are considered grace days.  How are other facilities setting up their schedules?  Do you use day 29, 59, and 89 for your PPS assessments?  I know that if you consistently use grace days it can send a red flag up and may cause a review and I don't want to do that unless the patient would benefit from using the grace days.  Thanks in advance Diane R. Wierenga RN BSN RAC-C   NOTE: This e-mail message may contain information that is privileged, confidential, and exempt from disclosure. It is intended for use only by the person to whom it is addressed. If you have received this message in error, please do not forward or use this information in any way. Delete it immediately and contact the sender as soon as possible by the reply option or by telephone at the telephone number listed (if available). In the event you cannot fulfill your obligation or there has been any improper release of this information, please contact the Privacy Officer at Carondelet Health at (816) 943-4611.     The information transmitted in this e-mail is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material, including �protected health information.�  If you are not the intended recipient, you are hereby notified that any review, retransmission, dissemination, distribution, or copying of this message is strictly prohibited.  If you have received this communication in error, please destroy and delete this message from any computer and contact us immediately by return e-mail. <<<<P.H.I.>>>>