EOT assessments

[Guest guest]

Our company needs some clarity on the EOT assessments recently required by CMS

for SNF patients who miss three consecutive scheduled days of therapy.

We're told that if therapy is available seven days/wk, and the 5x/wk patient

misses Friday, an EOT must be done because he missed three consecutive days.

(This makes no sense to me because if he's not SCHEDULED for Sat/Sun, those days

shouldn't count).

We're also told that if the patient misses three consecutive scheduled days for

a patient-related reason, e.g. flu, refusals, etc, the EOT is done, and the

patient must be discharged from therapy, then evaluated again in three days when

he feels better and ready to resume. (That looks like Medicare abuse to me; if

the POC hasn't changed, why discharge? Why not just a re-eval and resume?)

I can't find anything that supports either view, so am looking for a reference

or link for clarification.

Wendland PT

Ohio

Sent from my Verizon Wireless BlackBerry

[Guest guest]

According to the CMS call in January, unless it is well established that your

facility does not provide Saturday and Sunday therapy services (Even just

occasionally in the past year), CMS see your facility as a 7 days therapy

provider. Therefore missing three consecutive days, even it includes Sat. and

Sun., you will have to do an EOT OMRA.

Chung, OTR/L

EHC management LLC

EOT assessments

Our company needs some clarity on the EOT assessments recently required by CMS

for SNF patients who miss three consecutive scheduled days of therapy.

We're told that if therapy is available seven days/wk, and the 5x/wk patient

misses Friday, an EOT must be done because he missed three consecutive days.

(This makes no sense to me because if he's not SCHEDULED for Sat/Sun, those days

shouldn't count).

We're also told that if the patient misses three consecutive scheduled days for

a patient-related reason, e.g. flu, refusals, etc, the EOT is done, and the

patient must be discharged from therapy, then evaluated again in three days when

he feels better and ready to resume. (That looks like Medicare abuse to me; if

the POC hasn't changed, why discharge? Why not just a re-eval and resume?)

I can't find anything that supports either view, so am looking for a reference

or link for clarification.

Wendland PT

Ohio

Sent from my Verizon Wireless BlackBerry