Rena? Re: projected PT min w/early discharge

[Loretta Greaves]

Rena, Thanks for this.  I will give it to the therapies dept.  However I am still confused and feel that my therapies dept will be too. In our facility the MD orders for eval and treat and the therapist then decides on how many days to treat. Just to be 100% clear--If they had actual therapy for [example] 1 PT day w/ 35 minutes and 1 OT day w/ 40 minutes and were discharged on 3rd day is their RUG STILL based on the projection for the 10 days of therapy that the therapist projected?  Or do they need to alter their projection. Our outside auditor once tagged us for a similar scenario where the patient was discharged a few days after admission.  She felt there was no way we could have expected to do 10 days of therapy. Can you help us clear this up.  Sorry, I still feel a little confused. THANKS! ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, January 12, 2004 9:02 PM Subject: Re: projected PT min w/early discharge This is from the PPS Final Rule (July 30, 1999, page 41662) If the physician orders therapy for 10 days, the projected number of days in section T will be 10 rather than 14; likewise, if the physician does not order a limited number of days, the projection will be based on the entire two weeks, assuming the beneficiary's continued stay and receipt of services. In either case, of course, you bill for only the number of days the resident actually qualified for coverage. Rena R. Shephard, MHA, RN, FACDONA, RAC-C Healthcare Consultant [EMAIL PROTECTED] Subj: projected PT min w/early discharge Date: 1/12/2004 3:07:48 PM Pacific Standard Time From: [EMAIL PROTECTED] Reply-to: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent from the Internet Looking for a regulation or standard for this scenario:          Skilled therapies projects a high rehab RUG for 5 day.         Patient is discharged on 3rd or 4th day.        Actual minutes don't come anywhere near projection.  Opinions welcome as well as direction to regulation or standard.   Thanks in advance.