Hi Lisa,
  I would use the original estimated minutes that the therapists documented. Remember that it is only an estimate. The original estimate will give you a higher Rug level for the first 14 days and since the resident was not able to tolerate that amount of therapy that will be evident on the 14 day asses and there by putting that person in a lower Rug category.
  Sincerely, Mary Wright
----- Original Message -----
Sent: Tuesday, January 06, 2004 7:17 PM
Subject: projected minutes

I asked this question last week and have not seen any repsonses so I will ask the question again.  Section T on 5 day Medicare assessment where it asks for the estimated minutes patient to be seen thru day 15-how is that tabulated?  Is it strictly from the therapist's evaluation or can it be changed?  For example  Ms Smith is seen by therapy for eval on day 1 and therapy predicts patient to be seen 5 days a week/45 min OT and PT. ARD is set for day 7, on day 5 therapy decides Ms Smith cannot tolerated 45 minutes therapy for 2 disciplines and decreased her to 3x week/ 45 minutes each.  For the predicted minutes in section T do you have to use the initial eval prediction or can you use the projection indicated after therapy decreased?  Is there anywhere it is written?  Thanks-this is very important matter between myself and therapy.
Lisa
Aurora, CO

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