Extra or early quarterlies

[Rnlncoh]

I have always done extra or early quarterlies in order to capture rehab or medical treatment that will increase rugs.  A good example is someone on therapy at the end of a quarter.  They will remain on therapy through part of the next quarter.  I do a quarterly, for instance, in December and another one in January, in order to not miss the therapy rug score for both quarters.    All of a sudden, a corporate memo comes through telling us that extra or early quarterlies are now being considered fraudulent by the State and we are no longer permitted to do them.  This is in Ohio.  This will kill our rugs, as half of our facility are up and around independently with ADL index of 4 or less.    Per Fed regulations, I don't see where this is a problem and we have to stop.  We are required to do a minimum of 3 quarterlies.  There is nothing prohibiting more than that, unless I'm missing something.    All input would be greatly appreciated about this.  Thanks.   Sherri Jankowski, RN, CRNAC Cleveland, OH