I agree. However, I'm in Ohio, a casemix state, and we were recently told to quit doing "early quarterlies" or extra ones because the state is looking at it as fraudulent.  I'm still waiting to see this new reg in writing.  By not being able to do the quarterlies earlier, we are losing a lot of money and it is screwing with our schedule when situations such as yours come up as well.  I see nothing fraudulent about capturing a therapy resident in December, and then again in January, rather than waiting till March and he will be off caseload by then.  As long as you aren't using the same therapy minutes (time frame) for the two MDS's, what is the problem?  It is the care being provided. 
 
Sherri
There is no reg about doing them early, so go ahead and spread them out.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED]
Sent: Thursday, March 18, 2004 10:12 PM
To: [EMAIL PROTECTED]
Subject: OBRA Assessments

While understanding that Quarterly assessments must be signed as complete no later than 92 days after the Rb2 of the prior OBRA assessment, our March LTC assessment schedule is quite heavy.  Feb and April calendars are light.  We would like to spread out some of the assessments for the next time around.  How early can you set your ARD for the next quarterly assessment while keeping R2b no later than 92 days?  Would ARD of 70 days with R2b at 83 days be acceptable?  This is a casemix state.
 
 

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