mds2011

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!!!

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.

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?

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.

I'm not so familiar with Short stay, please please someone help. Resident entry 1/8 and DC 1/11. He is Med A. Start of therapy 1/9 and last day set by rehab is 1/11. Do I set 5D/DC/Both start and end of therapy on 1/11?

Oh no!!!Our residents receive neb treatment for Pneumonia or Bronchitis administered by the floor RN given for 15 minutes and I have been counting it. I was WRONG............

So, Nebulizer treatment is also not included?

Not sure if medication below can be counted under aerosol treatment or a hand-held medication dispenser? ProAir HFA 90 mcg/actuation Aerosol Inhaler can I count this under Respiratory on Section O?

If a resident is already in an Ambulation program and I want to increase our reimbursement by adding an AROM, do i need rehab to eval them first before putting them on program. How about the other program like eating or grooming, do I need OT to eval first. Do I need doctor's order? Thank you...

Our rehab director is double checking her minutes and she gave me a few late COTs. Some of them I have already submitted the next PPS assessment. I know I will be out of sequence, but how else will it affect the MDS as a whole? Will it also affect the payment for the COT (7 days look back.)? She also gave me 4 ARD changes just for this week alone. Thanks for the help!