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Hi Rena,
Thanks for your comments and reference. Could you
also comment re theestimate of the minutes being just that an estimate, prior to
actual minutes being provided? Thanks in advance.
Gail
----- Original Message -----
Sent: Saturday, April 10, 2004 5:24
PM
Subject: Re: therapy minutes
It's not surprising that folks are not certain
of the answer to this question, because it has been answered a couple of
different ways in recent years. However, the regulation is - if you know
coming in the door that the resident will be leaving prior to day 15, then you
must enter the number of days the resident is expected to be in the facility
and receiving the services.
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...
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