Another reference is in the revised pages to the RAI Manual that came out in
August.  See pages 3-187, 3-188.
http://cms.hhs.gov/medicaid/mds20/man-form.asp
Winona

-----Original Message-----
From: Christine Kroll [mailto:[EMAIL PROTECTED]
Sent: Tuesday, November 18, 2003 5:30 AM
To: '[EMAIL PROTECTED]'
Subject: RE: therapy question


Group therapy for Part A - refer to the 1999 final rule. This is 2-4 clients
per supervising therapist. For concurrent therapy and dovetailing refer to
the July 31, 2001 SNF-PPS Update - final rule - page 39567. This will
clarify that concurrent therapy and dovetailing share the same definition
and allow for 2 patients to be seen at the same time with the therapist
supervising and going back and forth between the two. This is only for part
A. Part B has stated that 2 patients at a time is either a group and you
bill a single group procedure or you clock your actual time with the client
and only bill CPT codes worth that amount of time (essentially splitting the
time with the clients and not counting all of the time for each). 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Tuesday, November 18, 2003 7:27 AM
To: [EMAIL PROTECTED]
Subject: therapy question



Do concurrent therapy, group therapy, and dovetailing (all with no more
than 4 residents at a time)  all have the same meaning? I need to provide
proof in writing for the meaning of these phrases. I have a few but could
use more to substantiate the rules regarding skilled therapy sessions
that include more than one beneficiary. Thanks. Jeanne  

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The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
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/----------------------------------------------------------
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
-----------------------------------------------------------/

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