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: Sect T projection
Date: 5/6/04 9:33:38 AM Pacific Standard Time
From: [EMAIL PROTECTED]
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Rena Please discussion has raised its head again in regards to projected minutes of therapy for 5 day PPS. If therapist anticipate pt will not need over one week of services do they project out for two regardless?? Thank You S Clair
