There is no reason to lose money due to fear of use of grace days, especially when it comes to rehab RUGs. Refer to the section on grace days in the 1999 final rule. Also, in regards to rehab RUGs, you only need the five full days if you are trying for the Ultra high or Very high rehab categories on the 5-day; otherwise, you can depend on section T allowances and only need 65 minutes of treatment and the appropriate projection in SEction T for Rehab high.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Monday, November 17, 2003 11:15 AM To: [EMAIL PROTECTED] Subject: Back to basics-Use of grace days or need for 5 days of 1 therapy I know that 5 days of 1 therapy is needed for a resident. However, very often, in order to get the 5 days, I have to use grace days (gd). I use the gd because the resident did not get admitted to our TCU early on the day of admission or had a skilled need and could not participate in therapy right away, or no therapy on Sunday, etc. Sometimes I use all 8 days as the look back period and still only have 3 or 4 days of therapy minutes to use in Sect. P. I know that gd are only to be used sparingly. I don't know which is more important - use of grace days or 5 days of therapy. What is the accepted protocol to follow in this situation? /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
