So is sec t optional? Once you answer the question ordered therapies or does the order 
have to state start within the next 14 days? My old software would not allow me to 
estimate if I didn't have the 65 mins, current  software gives error message and 
requires estimated mins entered. My current therapy contract pay the therapist just 9$ 
day for any skilled resident that is in a medical rug, so I would prefer to get my se3 
from the hospital info but end up using grace days to capture a therapy rug due to the 
software requiring estimating.

also had a new one this week: res returned from hospital with new dx of cancer with 
mets and poor prognosis, he was also started on insulin, new med and had orders for 
snf level of care, I was going to do the 5 days and d/c but therapy eval and I got a 
couple of different stories that they were going to pick up but when questioned by the 
corp nurse consultant they stated they didn't know why they were seeing him, per her 
report. Hospice screened and report I got back was they would pick him up when his 
skilled stay was over. (never heard of that before) I know I have read on the list 
server that people were skilling people even tho terminal if they would benefit from 
it so when therapy stated they would pick him up was not too suprised and they even 
discussed setting the 14 day ard, so sounded like they were going to be providing 
ongoing therapy. Not sure what the question here is but I feel better.....

Robert W Darr RNAC RAC-C
Sunny View Care Center
410 NW Ash DR.
Ankeny,IA 50021
Office: (515)964-1101
Fax: (515)965-1935
Home: (515) 462-9138
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