We frequently use rehab low. How ir usually works is the resident isn't appropriate for more therapy, cannot tolerate alot of therapy or they are getting ready to d/c but still need some therapy. We coordinate with the restorative nurse and the therapy manager, (they are in the same office). We do not plan from the start of care. This usually happens towards the end. You do not have to bill for the lower rug until the next Medicare assessment is due. You keep them on the same schedule and bill accordingly. A resident could have a 30 day assessment that is  a rehab high, but could go to rehab low on day 46. You would still be paid for rehab high until you did the next assessment, ot they d/c'd from therapy.
ann m schoeny crnac
sem haven nursing and rehab
225 cleveland ave.
milford, ohio 45150
(513) 248-1270
-----Original Message-----
From: betty haines [mailto:[EMAIL PROTECTED]
Sent: Monday, March 15, 2004 12:51 PM
To: [EMAIL PROTECTED]
Subject: Rehab Low Category

Hi everyone. Have a question regarding Rehab Low category. We finally have a well coordinated restorative nursing program. Also a new rehab manager. Now we can actually progress a resident to a rehab low category, but, I've never used this sucessfully before. Does anyone have any suggestions on how to organize and begin this? Do you plan this from the onset of care or when ? What about the ARD. If you must wait for the next MDS due and use the appropriate lookback period do you bill for the lower RUG for that week? I would apprciate any help.
Betty H
 

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