I don't recall that anything in
the Federal Register specifically about hospital-based SNFs. I did ask
several speakers at the AANAC Conference last year (Chicago) about this
specifically because I was concerned about some residents getting 7
days and others only 5. They indicated that we were
simply providing services at the level required for each resident, and
as long as it was at least 5 days, we were in compliance. I would be
very interested in other opinions, and especially source
documentation.
I
remember reading, I think, in the Federal Register that if therapy is offered
in the hospital part 7days a week, then it has to be offered 7 days a week in
the SNF part of the hospital. That is why I need clarafication.
-----Original Message----- From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]On Behalf Of Debbie
Settle Sent: Wednesday, December 03, 2003 2:02 PM To:
[EMAIL PROTECTED] Subject: RE: Daily Therapy
There are still a lot SNFs
that don't have Rehab services 7 days a week. Therapy will usually come in
on a weekend day if needed to get enough minutes for the RUG catagory that
is needed. Again, per the MDS crosswalk, resident has to have a certain
number of minutes and @ least 5d days of rehab services to RUG out in a
Rehab catagory. They can certainly have more days than the 5, but 5 is
the LEAST number of days that qualifies.In my current facility, rehab
usually only works 5 days a week, but still manage to get in enough minutes
to RUG us in the HIGH, VERY HIGH, and even ULTRA HIGH catagories.
-----Original Message----- From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]On Behalf Of Vogt,
Kathy Sent: Wednesday, December 03, 2003 2:27 PM To:
[EMAIL PROTECTED] Subject: RE: Daily Therapy
I have been told that if
therapy is only offered 5 days a week, then that is considered
daily. I would think that if it is available 7 days and it is not
given that it would not be considered daily to meet the Medicare
requirements.
Yes. They actually only
have to provide the services 5 days a week for
Medicare.
-----Original Message----- From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]On Behalf Of Libby
Cawthorn Sent: Wednesday, December 03, 2003 1:35
PM To: [EMAIL PROTECTED] Subject: Daily
Therapy
We are a hospital
based SNF, Medicare only. Our Therapy Dept. which covers the entire
hospital, our unit and out-patient rehab services has become short
staffed. They are wanting to provide therapy 6 days a week, splitting
the weekend. PT normally sees residents 7 day/week and OT
5-6days/week. Will this continue to meet Medicare guidelines as a
daily service, even though therapy services are available 7 days/week,
just not on our unit.
Libby Cawthorn, RN
Director/MDS Coordinator SNF
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