It is the following section of the PPS Final Rule (July 30, 1999, page 41662) that is at the center of this answer:
If the physician orders therapy for 10
days, the projected number of days in
section T will be 10 rather than 14;
likewise, if the physician does not order
a limited number of days, the projection
will be based on the entire two weeks,
assuming the beneficiary's continued
stay and receipt of services.
The RAI User's Manual clears up the question of what to do if the resident is expected to stay for at least 15 days but leaves early:
"Calculate the expected number of days through day 15, even if the resident is discharged prior to day 15." and "Calculate the expected number of minutes through day 15, even if the resident is discharged prior to day 15. (p. 3-216)." In that case, of course, you would bill only for the number of days the resident was actually in the facility and receiving the services.
Rena
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]
Subj: therapy minutes
Date: 4/10/04 5:56:12 AM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet
I work at the SNF unit of a hospital, and most of our patients are high level.When PT and OT evaluate these patients, usually the estimated duration of therapy is 5-7 days only,then they're discharged home. Therapy orders are usually written PT and OT daily for 7 days. My question is filling out the section T of the MDS,in the estimated number of days and minutes. If the patient is discharged after the 7th day therapy was rendered, should I enter 7 days as the estimate number of days, and the total minutes rendered on the estimate number of minutes? Or should I calculate the estimated number of days and minutes through day 15 eventhough i know from the start that this patient will only stay here after 7 days of therapy?
i.e....April 1 - date of admission
2 - PT/OT eval and tx day 1 = total min. for both = 60min
3 - day 2 of therapy 45min
4 - " 3 " 45min
5 - " 4 " 45min
6 - " 5 " 45min
7 - " 6 " 45min
8 - " 7 " 30min
9 - dc home
The total therapy minutes for example is only 315 min. In section T, should I write 7 days and 315 min? Or estimate until day 15 eventhough I know that the patient will be discharged?
Thanks...
