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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
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