If the resident is in a Part A stay in the SNF at the time of the Barium Swallow, then the minutes would count.  I misread this question and perceived it was referring to a pre-SNF stay in the hospital.

 

Jane Craven, RN, C.

Sr. Consultant, Nursing Services

Tendercare (Michigan) Inc.

 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Holly Sox, RN, RAC-C
Sent: Wednesday, December 17, 2003 3:24 PM
To: [EMAIL PROTECTED]
Subject: Re: Counting "outside" therapy minutes

 

Well, that's the thing. It's not part of the hospital stay.  She was admitted to the SNF, and went to hospital as an outpatient for the MBS.  I know it comes out of the SNF per diem rate, so it raised the question.

 

 

Holly F. Sox, RN, RAC-C
Clinical Editor

 

----- Original Message -----

From: Jane Craven

Sent: Wednesday, December 17, 2003 3:25 PM

Subject: RE: Counting "outside" therapy minutes

 

No.  No therapy minutes from the hospital stay may be used.  This is in the PPS Final Rules; look on page 41661 of the July 30, 1999 Federal Register-line 12 of the 1st column on this page begins:  “In addition to the issues discussed...”.  You will note the eval of the resident’s need for therapy must begin in the SNF not in the hospital.

 

Jane Craven, RN, C.

Sr. Consultant, Nursing Services

Tendercare (Michigan) Inc.

 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Holly Sox, RN, RAC-C
Sent: Wednesday, December 17, 2003 11:15 AM
To: [EMAIL PROTECTED]
Subject: Counting "outside" therapy minutes

 

Hi Group,

I have a question to relay from an email-impaired friend.

 

When a Med A resident is sent out to the hospital for modified barium swallow, and returns with documentation of the minutes provided by the SLP doing the study, can these minutes be counted on the MDS?  

 

Thanks!

 

Holly F. Sox, RN, RAC-C
Clinical Editor

 

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