Can grace days be used to add minutes if the patient has already been seen 5 days on a 5 day MDS/PPS assessment?
Jun 1, '07
Quote from nratchet
If therapy is ordered 5 x week and therapy sees them on day one of admission and continues to see them for 8 days to gain enough minutes to put them in a very high or an ultra is this going against doctors orders to treat 5 days a week?
The therapist's treatment plan must be approved by the physician. If the order approved by the physician calls for therapy 5 days a week, then a therapist cannot give treatment beyond that.
To capture Ultra or Very High with a 5-day rx:
Ultra - At least 2 therapies (1st discipline at least 5 days, 2nd discipline at least 3 days) must total 720 minutes or higher within the 5 day timeframe.
Very High - One therapy given at least 5 days (w/ or w/o another therapy combined) must total 500 - 719 minutes.
The extra therapy days delivered cannot be counted or captured in the MDS since it is not approved by the MD.
Last edit by Talino on Jun 1, '07
: Reason: typo