I agree and would add that therapists should document what they are doing. In otherwords if they are charging for getting the patient up and going because they are using that as treatment time, then they should have a goal for transfers, balance and/or cuing for safety. If therapists are working with someone with cognitive deficits, then cueing that person to engage in the task is part of the therapy and again should be documented as it relates to the person's overall functioning and ability to engage in tasks functionally and safely. This documentation makes it clear what therapy is attempting to do and makes a good case for the necessity and skilled level of the services provided.
-----Original Message----- From: Corey Ali [mailto:[EMAIL PROTECTED] Sent: Tuesday, January 20, 2004 8:34 PM To: [EMAIL PROTECTED] Subject: Re: PT MINUTES QUESTION If the pt. needs the therapy, and needs the increased time of the therapist, it seems to me that CMS meant that time to be delivered to that patient to gain skills they might otherwise NEVER regain. If the therapist is using the time in getting going and transferring as part of therapy, I would count it. If therapy is merely transferring the residnet, or assisting with dressing to prepare for therapy, without working with the resident or providing teaching, etc., then it should not be counted as it is not therapy. Corey ----- Original Message ----- From: "Chriss, Theresa M." <[EMAIL PROTECTED]> To: "AANAC Q&A (E-mail)" <[EMAIL PROTECTED]> Sent: Tuesday, January 20, 2004 1:52 PM Subject: PT MINUTES QUESTION > How do most of your therapy departments bill for minutes? Do they help > assist residents out of bed, into the wheelchair? Do they "count" those > minutes as minutes on their billing sheet?? > > Our therapy department is "bumping" residents up in categories because they > "take awhile to get them out of their room". For example, someone who can > only tolerate RH minutes, yet therapy is asking for the resident to be RV > because it takes 10 minutes to assist getting them up for therapy. > > And what about confused residents? What are most of your therapists doing > as far as minutes, when it might take 45 minutes to get done 30 minutes > worth of exercise due to decreased cognition?? > Thank you. > TERRI :0) > > > > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.553 / Virus Database: 345 - Release Date: 12/18/2003 /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
