ST wanting to do BIM's


I have been asked by my DOR and seen it posted other places where ST is asking to do the BIM's assessment (so they can do it on day 1 or 2 of admission) so they can hopefully have a better chance a capturing the <12 BIM's score for the ST payment group. Anyone have any thoughts on this or been asked the same question? I am all for it as long as it is done within the time frame and they provide the correct documentation


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Specializes in ER CCU MICU SICU LTC/SNF.

True, it is widely endorsed, which aligns the tasks with ST’s role in capturing the SLP component.

We may all agree the task can be conducted by whomever with the skills (Nurse, OT, ST, or SW). However, there are some factors that should be considered to maximize revenue:

  • A resident admitted on Friday night may not always be evaluated by the SLP until Monday. Considering a new environment, deconditioning post hospitalization / recuperating from a condition, BIMS conducted immediately upon admission may differ 2-3 days later when resident has acclimated.
  • “Sundowners” BIMS in am may not be the same in pm.

That said, it’s not really a matter of who conducts the BIMS but when.

Let us not, however, confuse this as a misrepresentation of the resident’s cognitive abilities for care delivery.

Specializes in geriatrics. Has 3 years experience.

Corporate policy for my facility is for the social worker only to do the BIMS... I asked because ST posed the same question.