e have a new therapy company. On their first day they asked me to
unlock a PPS MDS and change the ARD because they thought they could
capture a higher RUG score. I refused. Now they are asking me to
change the ARDs soon after I post the schedule. This does not usually
involve RV-RU groups-often RM and RH. I think this may be legal as they
are asking me to change the dates prior to the ARDs but I'm not sure
this is ethical. I definitely don't think it is standard practice. Can
anyone validate this?
Judy
The ARD does not have to be kept the same once it is set. The reason we
have 8 days to pick from is so we can capture which day works the best
to pick the best rug. However, if it's a 5day assessment, I would not
use grace days if they are only able to get RM or RH, but for the other
assessments it is perfectly ethical to change the ARD to capture that
rug level. The patient may have been ill or uncooperative one or more
days & if you don't change the day, you probably won't be able to
capture the rehab rug.
When a resident is admitted, I set the ARD's out through their 100 days.
However, those are only projected dates & we frequently change them in
order to capture the best rug level.
Pat Whitcomb, RN
MDS Coordinator
Madonna Towers
507-288-3911, Ext. 3050
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