RE: projection of therapy minutes

[Ann Schoeny]

I attended a DAVE inservice and one of the top things they are looking at is projected minutes vs actual minutes delivered on 14 day mds. They are also looking at patterns of rugging residents. ie everyone is rehab high,,,,,I would be careful of falling into any pattern, but again look at every resident individually and what that resident needs.....HOPE THIS HELPS.

 

-----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

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