This is a very interesting question and one that I look forward to seeing replies from others.
The manual is not clear on how to proceed with this one.  I would treat this as I would a resident who transfers on day 2 of the stay.  I would set the ARD on day 2 since that is his last covered day and complete the assessment as a return readmission assessment.  I would use estimated minutes to get a rehab RUG, but the highest level you could get would be a High using estimated minutes.  I don't think that it would be acceptable to use minutes AFTER the end of skilled services to get a higher RUG, but am anxious to see if others agree or disagree.
----- Original Message -----
Sent: Saturday, January 31, 2004 12:03 AM
Subject: Can rehab minutes be counted in this case?

I know this question has come up in the past...
 Part A resident was recently admitted to us after several "in-and-out" transfers (to the acute care hospital and back to SNF) ; the hospital recently had resident on "swing status" and resident  now has only "2" Part A days remaining at this time.     PT and OT services will be working with him at "very high" level;  can I still capture the minutes delivered on days 3, 4, 5, and 6 ,even though they are not covered by  Part A , in order to RUG him at "RVB" for his remaining "2" days?  Thanks to all!


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