predictable readmits and section T

[IBARN96]

I have 2 questions. 1.  Predictable readmits-I have always been told that per Medicare guidelines that when a resident comes to your facility as a predictable readmit that the orders for predictable readmit must be written on the discharge orders from the hospital and that it cannot be written by the MD once the patient arrives at your facility.  Have the rules changed?  Am I correct in my info and where can I find this in writting? 2.  Section T-on the predicted therapy minutes.  My interpretation is that on the day that therapy goes in and evals the patient they predict how many days and how many minutes the patient will be seen.  From that prediction is where we get the minutes for section T.  Of course I know that it is the actual minutes seen up up until the ARD and then from the ARD it is that set of predicted minutes.  If for reason the the patient cannopt tolerate the predicted therapy and therapy then changes for example on eval therapy decides to see the patient 5 days a week for 45 minutes for OT and PT and 2 days week will be seen 30 minutes for OT and PT.  On day 4 therapy decides patient can only tolerated 5 days a week for 30 minutes for OT and PT and the ARD is set for day 7 what set of predictions will you use on section T the original set or the ones made on day 4?  Is this written any where? Thanks for all your help! Lisa Colorado