RE: projection of therapy minutes

[Brenda Chance]

I agree.  You base whether to project into a low, medium, or high, or whether to use grace days (if needed) to capture a very or ultra based on the needs to each individual resident.  There is no way a blanket policy to project will cover everyone.  Medicare is likely to frown on this.  Some residents will truly need the grace days to get the therapy that they need.    Also, there is nothing wrong with projecting to capture a low, medium, or high if this rugs category fits the resident.  There is no point in using grace days to capture these rugs scores if the resident will fall into one of these categories anyway.   Brenda W. Chance, RN, RAC-C MDS Coordinator     CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) 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: Laurie L Swanke [mailto:[EMAIL PROTECTED] Sent: Wednesday, February 25, 2004 11:59 AM To: [EMAIL PROTECTED] Subject: RE: projection of therapy minutes   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 minutes I 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. Thanks Tanya   Tanya Jordan, RNAC Homewood Retirement Centers Williamsport, MD Fax 301-582-1819 Do you Yahoo!? Yahoo! Mail SpamGuard - Read only the mail you want.