Is this a Short stay?

Talino · Jan 14, 2014

Yes, you are right on the money! However, I strongly recommend reading how you met the mandatory "8 conditions" in order to create a Short Stay PPS. RAI p6-17 to 6-19

mds2011 · Jan 15, 2014

Thank you very much!!! I'm the only coordinator in this facility of 300 beds and it so tough, but I'm glad I found this site, so I can double check my work before I submit. Your help is greatly appreciated.

mds2011 · Jan 22, 2014

I got a default RUG of AAA and if I remove the rehab minutes I got a PC1. Can I just remove the minutes, so that I do not get a default RUG?

Talino · Jan 22, 2014

No.

Recheck the 8 conditions I have mentioned if you met ALL of those. Make sure Z0100C is coded "Yes". Your RUG score should be one of these based on therapy minutes.

15-29 mins - Rehab low

30-64 mins - Rehab Medium

65-99 mins - Rehab High

100-143 mins - Rehab Very High

144 mins or more - Rehab Ultra

mds2011 · Jan 22, 2014

I have these data:

A0310B = 5 day assessment

A0310C = SOT&EOT ---- Rehab gave me a SOT&EOT combined.

A2300 = 1/11 --- These are 3 days ---- rule is less than or equal to 7

A2400B = 1/8

A2400C = 1/11

Rehab section O PT and OT are 1/9 - 1/11 = 2 days = RH RUG ---- rule is less than or equal to 3

Z0100A = AAA00

I opened a 5D/SOT&EOT/DC.

Based on these it should be short stay, but why giving me a default RUG? So, confused....

Below is what I used to double check is short stay:

The assessment cannot be a short stay unless all of the following conditions are met:

• A0310B = 01 or 06 in current or previous assessment since most recent entry

• A0310C = 1

• A2300 – A2400B

• A2300 = A2400C

• A2300 – (earliest of O0400A5, O0400B5, O0400C5)

• O0400A6 or O0400B6 or O0400C6 = dashes, OR O0400A6 or O0400B6 or O0400C6 = A2400C (at least one end-of-therapy date must meet the criteria)

• Z0100A =

index maximized rehabilitation Resource Utilization Group (RUG)*

* The most common reason that short stay assessments are rejected is when the

index maximized RUG is a non-rehabilitation RUG. A start of therapy MDS must result in rehabilitation or rehabilitation plus extensive services RUG.

Talino · Jan 22, 2014

A0310C must = 1, not 3
There must be at least 1 therapy provided on 1/11 (include this therapy day/mins even though this is the DC date also)
Make sure Z0100C = Yes

mds2011 · Jan 22, 2014

I changed assessment to 5D/SOT/DC. Therapy was provided on 1/11. After changing type of assessment I got a RUG of RH.

THANK YOU!!!

smarieannh · Jan 24, 2014

My understanding is that an EOT is not required unless the patient comes off of therapy but continues to stay in your building as a skilled patient. This may be why it was pulling the default?

scashrn · Feb 25, 2014

this may be a silly question but is it even beneficial for the facility to admit someone who only stayed on Med A for 4 days?

Cecilianurse · Mar 4, 2014

Resident was DC to hospital that is why this type of situation occured.

scashrn · Mar 4, 2014

thanks...that makes perfect sense; :)