Section T.1 is not optional, it has to be completed according to the
instructions for the 5-day/readmission and then T.2 for all assessments
according to instruction as well. If you are not already, your team needs to
have a regular rehab meeting so that the team can come to an agreement on
the case managment for this client - may help to avoid inconsistenecies with
therapy. SE3 will "outweigh" quite a few of the lower rehab RUGs (RHA, RM's
and RL's)- changes slightly is Urban or Rural. 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Tuesday, November 18, 2003 8:02 AM
To: [EMAIL PROTECTED]
Subject: Re: Use of grace days/back to basics


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
[EMAIL PROTECTED]
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