Quote from nratchet
Doctor order usually reads PT 5 x wk for 30 days. I guess what I'm trying to ask is this. If the patient misses 2 out of the 5 days for whatever reason, (i.e. dr visit, dialysis, illness, etc), how many grace days are we allowed to use legally. We, my coworker and I, believe we are only allowed to use them to replace to amount of days missed. Our therapy department believes we can use the maximum amount of 3 grace days no matter how many days are missed to make the RUG score higher.
Sorry if it seems I'm asking the same question over and over but our PPS coordinator is dictating the question and she keeps rephrasing it.
It is wise to use grace days in order to capture the highest RUGs possible. See the definition of Grace Days in Appendix A, A-5.
I believe your initial concern is that the therapy may have been provided more than 5 days in a given week when the grace days are used.
Just put it this way...
If your week begins on Monday and ends on Sunday, how many times did resident receive therapy? The total should not exceed 5 days. So if therapy is normally provided Monday - Friday but resident misses Wed & Thu, a therapist who provides the therapies on Sat and Sun to make up the for the absences equalling 5 days for the week, deserves a pat in the back.
When choosing the ARD, do not confuse the grace days used as trying to provide more therapies than the 5 days prescribed. The grace days simply allows you to capture the most number of therapies provided in the last 7 days.
You are not being repetitive. The MDS is quite complex. One false interpretation can result in huge revenue losses. Never hesitate to seek clarification.