I think what some companies are doing is using day 1 or 2 for 5 day ref.They don't let
rehab write any eval or treat orders until after the ard,that way the first MDS could
prob be an SE3.CMS thinks this is a manipulation of the system,sure some patients are
too ill to take rehab early on.Most of my short term admits,I could get an SE3 if I
did this ,but they come to us for rehab.This patient expects therapy to see them on
admit,if not by day 2.[we provide therapy 6 days a week]As I said before, RV is the
Rug we usually get.In a rare occasion I will look to get an SE3 and ask rehab to wait
a day or 2 but this particular resident prob can't tolerate more than a RM anyway.This
is what made me ask this question to begin with,I attained an SE3 and had rehab mins
on day 1 but this patient was an RM.I can now understand the indexing.Sorry if I
caused more confusion but I am all set.
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