RE: Significant Changes in Regard to Rehab

[Richardson, Christine]

I believe you would do an omra for a rug change to better capture what the res is receiving as tx [Richardson, Christine]  -----Original Message----- From: Julie Schwarzenegger [mailto:[EMAIL PROTECTED] Sent: Monday, March 29, 2004 9:48 AM To: Message Board MDS Subject: Significant Changes in Regard to Rehab I am the operations manager for a contract therapy company in NC so this questions may seem trivial to you -- I apologize for that.   Here's the scenario:  A patient is discharged from therapy but remains skilled by nursing.  Several weeks later, when the patient is between assessments, he/she becomes appropriate for rehab services as a result of a weight bearing status change, for example.  Is there any way to achieve a rehab RUG by completing a significant change?   We encounter this problem frequently in our nursing homes and end up treating the patient for up to two weeks under a nursing RUG.  It seems like Medicare should allow the facility to capture a rehab RUG but our MDS coordinators often say that a patient's weight bearing status change or increased ability to participate in therapy is insufficient in warranting a significant change.    Any information you can offer is greatly appreciated.     Julie Schwarzenegger, OTR/L Operations Manager Ballard Therapy Services [EMAIL PROTECTED] (704) 293-9859   Confidentiality Notice: This electronic mail message, including my attachments, is for the sole use of the intended recipients and may contain confidential and/or privileged information. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any unauthorized review, use, disclosure or distribution is prohibited. NOTE: This e-mail message may contain information that is privileged, confidential, and exempt from disclosure.  It is intended for use only by the person to whom it is addressed. If you have received this message in error, please do not forward or use this information in any way. Delete it immediately and contact the sender as soon as possible by the reply option or by telephone at the telephone number listed (if available).  In the event you cannot fulfill your obligation or there has been any improper release of this information, please contact the Privacy Officer at Carondelet Health at (816) 943-4611.