I am not meaning it would be fraudulent, the minutes are still being done and are included on the UB-92, you still have to provide therapy since we have to provide all needed services, what i don't really understand, is why the software would make someone, who qualifies in a higher reimbursed RUG move to a lower Rehab RUG-is it only because of the CMI and the payment is based on that vs RUG payment? Most cases this would only be the beginning of a part a stay and not done throughout the skilled stay. I also do not understand if someone, geriatric, with a new fall at home and comes to us for Rehab and pain mgmt, how can they tolerate that much therapy to begin with? Most are with acute pain and symptoms of Delirium at first and nursing should drive the MDS process not Rehab-which basically is done in many of the homes here in Alabama. I did not mean to imply it was fraud-but i have heard of other homes doing this in the Southeast, and by omitting therapy minutes, the software could not automatically move you to a Rehab RUG.
I am i guess confused about this and wondered if anyone out there could help with my question.
L.Morgan
