Re: projection of minutes

[carol maher]

Nancy, If your facility is legitimately getting Ultra High on most assessments, it makes sense that you would be using grace days for the 5-day assessment.  In order to get the Ultra High RUG you need to have at least 1 therapy discipline providing therapy for 5 of the days as well as another giving at least 3 days of therapy and giving the resident 720 minutes or more of therapy.  Unless the residents were all admitted and treated on Mondays, you could not get paid for the amount of therapy actually provided to your residents without using grace days.  If your therapists are providing at least 720 minutes of needed therapy each week, it would be appropriate to use the grace days to capture an assessment window that shows the true picture of the resident and the procedures for that resident. It is unusual for long-term care residents to require 720 minutes of therapy every week , so it might look suspicious if that is the norm for your facility.  That would be more of a red flag to me than your use of grace days. ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, March 23, 2004 2:29 PM Subject: projection of minutes     What are the implications of consistley using grace days on the five day for ultra high since you can't project minutes? ( P/T and O/T do not work weekends) this is what I was told that is why they project on every five day mds. thanks nancy