RE: Extra or early quarterlies

[RSCline]

Sherri— I did some looking on the Ohio website and found that there is a proposed rule change that went into effect January 8, 2004.  The rule is 5101:3-3-40 Nursing Facility (NF) case mix assessment instrument: minimum data set version 2.0 (MDS 2.0)   This is part of Ohio’s attempt to reduce costs in this area.   “A (18) states “Quarterly review assessment” means an assessment that is normally conducted no less than once every three months using the MDS 2.0 designated for use in Ohio that does not include the triggers, RAPs, and RAP summary form.”  This was on the e-manual page, which I was unable to reconnect to since they are having some trouble with the site.  I hope this helps to clarify the issue.   Roberta S. Cline, MS, LNHA, RAC-C Consultant Pathway Health Services 2025 Fourth Street White Bear Lake, MN  55110 C:  651-260-6940 e-mail: [EMAIL PROTECTED]   Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of RSCline Sent: Monday, January 26, 2004 8:35 AM To: [EMAIL PROTECTED] Subject: RE: Extra or early quarterlies   This may be a state requirement.  Check with your corporate consultant.   Roberta S. Cline, MS, LNHA, RAC-C Consultant Pathway Health Services 2025 Fourth Street White Bear Lake, MN  55110 C:  651-260-6940 e-mail: [EMAIL PROTECTED]   Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED] Sent: Sunday, January 25, 2004 3:04 PM To: [EMAIL PROTECTED] Subject: Extra or early quarterlies   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