We use
lots of projections and few grace days. What is important is that the
documentation supports the projection and really supports the reasons if the
projection is not achieved. Usually our projections have been pretty
accurate. You also need to look at each individual resident and not just
have a blanket policy that everyone is projected into high, or everyone uses
grace days.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Tanya Jordan
Sent: Wednesday, February 25, 2004 10:20 AM
To: [EMAIL PROTECTED]
Subject: projection of therapy minutesI need some help with this one. We have a new director of our Rehab area and he wants to use projections, putting everyone in a high category with the first MDS assessment if they are on therapy. He doesnt want me using grace days to set the inital ARD. He said as long as they get a couple days of therapy they can use those minutes and do the projection.This is not the way we have been doing it here at all. Whenever possible we have been using the grace days on the 1st assessment to capture 5 days of therapy, and we do use the projection too. Now if it is impossible to capture 5 days of therapy for whatever reason in the 1st 8 days, we base that RUG on the projection.I dont want to do anything that is wrong. I sure dont want to be charged with Medicare Fraud, and I just dont see how you can do what he is wanting to do and put everyone into a high RUG. Most of our residents are in a high or a very high to start with, but we have had some that are in a Medium.ThanksTanya
Tanya Jordan, RNAC
Homewood Retirement Centers
Williamsport, MD
Fax 301-582-1819
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