A new resident, very healthy 81 y.o. male s/p ORIF Right Hip, was admitted on 12/20/01 and was eligible for Medicare Rehab.
The 5-day Medicare was also an Initial Adm. MDS assm't. The resident was scheduled to receive daily Physical therapy (no OT needed) @ 30 mins/day. The facility's Rehab. is closed on holidays and weekends. Hence the resident would miss out therapies on 12/25/01 and 1/01/02 and also the weekends in between.
Using the ARD window for the 14-day, between 12/30/01 to 1/07/02 (incldg. the 5-day grace period), the maximum PT days captured will only be 4 days. Since resident has no skilled need, he will fall off Medicare eligibility. He's private pay. What would you do to avoid interruption of Medicare coverage and still be paid at same RUG score?
