Guest guest Posted July 23, 2012 Report Share Posted July 23, 2012 *Dear ,* * * *There are 33 different clarifications specific to intensity of rehabilitation and the three hour rule on IRF. At MediServe, we created a searchable tool that allows you to review by topic or by key word look on the various discussions around make up time.* * * *The short answer is that with appropriate documentation in the chart you can make up just the time missed as long as the reason was patient precipitated (not staffing convenience). * * * *Use this tool to see all IRF 2010 clarifications as well as discussions on the 3 hour rule. The links take you right back to the CMS clarification itself. Question/Answer/Resource.* * * http://www.mediserve.com/resource/analysis/cms-clarifications-on-irf-regulations\ / *Hope this helps! It has personally saved me hours of time in the short time we have had it up and running. * * * *Cordially, * * *Darlene L. D'Altorio-,PT.,MBA-HCM Strategist, Rehabilitation Management CORE Results Group, MediServe Join Discussions: www.mediserve.com/blog Office: Mobile: Fax : djones@... 585 N. Juniper Dr., Suite 100 | Chandler, AZ 85226 | 1. | > ** > > > There have been multiple discussions of this previously but we are > relooking at our IRF policy reg 3 hour rule and weekend coverage. Our FI is > NGS. > > We provide a minimum of 3 hours x 5 days coverage in our IRF - we offer > full therapy either on the Sat or the Sun for patients who did not complete > full therapy during the week for any reason. The brief exceptions rule is > not applied during the 1st 3 days on the unit as is CMS policy. We rarely > apply the brief exceptions policy, so they often recieve more than the > minimum time required per week. > > Does anyone have any advice or experience with NGS, as to whether we might > be able to offer only " missed time " during the week, rather than another > full day of therapy, on the weekend? For example, if the patient missed 30 > minutes on the 1st day of admission, could we then just offer 30 minutes of > " make up " time on the weekend, rather than another 3 hours. > > All comments welcome. thanks. > > , Rehab Manager > > athomas@... > > > > This message and any attachments are confidential and intended solely > for the use of the individual or entity to which they are addressed. If > you are not the intended recipient, you are prohibited from printing, > copying, forwarding, saving, or otherwise using or relying upon them in > any manner. Please notify the sender immediately if you have received > this message by mistake and delete it from your system. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2012 Report Share Posted July 23, 2012 *Dear ,* * * *There are 33 different clarifications specific to intensity of rehabilitation and the three hour rule on IRF. At MediServe, we created a searchable tool that allows you to review by topic or by key word look on the various discussions around make up time.* * * *The short answer is that with appropriate documentation in the chart you can make up just the time missed as long as the reason was patient precipitated (not staffing convenience). * * * *Use this tool to see all IRF 2010 clarifications as well as discussions on the 3 hour rule. The links take you right back to the CMS clarification itself. Question/Answer/Resource.* * * http://www.mediserve.com/resource/analysis/cms-clarifications-on-irf-regulations\ / *Hope this helps! It has personally saved me hours of time in the short time we have had it up and running. * * * *Cordially, * * *Darlene L. D'Altorio-,PT.,MBA-HCM Strategist, Rehabilitation Management CORE Results Group, MediServe Join Discussions: www.mediserve.com/blog Office: Mobile: Fax : djones@... 585 N. Juniper Dr., Suite 100 | Chandler, AZ 85226 | 1. | > ** > > > There have been multiple discussions of this previously but we are > relooking at our IRF policy reg 3 hour rule and weekend coverage. Our FI is > NGS. > > We provide a minimum of 3 hours x 5 days coverage in our IRF - we offer > full therapy either on the Sat or the Sun for patients who did not complete > full therapy during the week for any reason. The brief exceptions rule is > not applied during the 1st 3 days on the unit as is CMS policy. We rarely > apply the brief exceptions policy, so they often recieve more than the > minimum time required per week. > > Does anyone have any advice or experience with NGS, as to whether we might > be able to offer only " missed time " during the week, rather than another > full day of therapy, on the weekend? For example, if the patient missed 30 > minutes on the 1st day of admission, could we then just offer 30 minutes of > " make up " time on the weekend, rather than another 3 hours. > > All comments welcome. thanks. > > , Rehab Manager > > athomas@... > > > > This message and any attachments are confidential and intended solely > for the use of the individual or entity to which they are addressed. If > you are not the intended recipient, you are prohibited from printing, > copying, forwarding, saving, or otherwise using or relying upon them in > any manner. Please notify the sender immediately if you have received > this message by mistake and delete it from your system. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2012 Report Share Posted July 23, 2012 We are providing another 3 hours Saturday and/or Sunday as well if they didn't meet one or two days. We have a different FI. Robin King, PT, C/NDT, CCCE Therapy Manager, Rehab Therapy Health Robin.King@... Phone: __________ Health - ranked one of Missouri's Best Hospitals by U.S. News & World Report COXHEALTH Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2012 Report Share Posted July 23, 2012 We are providing another 3 hours Saturday and/or Sunday as well if they didn't meet one or two days. We have a different FI. Robin King, PT, C/NDT, CCCE Therapy Manager, Rehab Therapy Health Robin.King@... Phone: __________ Health - ranked one of Missouri's Best Hospitals by U.S. News & World Report COXHEALTH Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2012 Report Share Posted July 23, 2012 We are providing another 3 hours Saturday and/or Sunday as well if they didn't meet one or two days. We have a different FI. Robin King, PT, C/NDT, CCCE Therapy Manager, Rehab Therapy Health Robin.King@... Phone: __________ Health - ranked one of Missouri's Best Hospitals by U.S. News & World Report COXHEALTH Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 24, 2012 Report Share Posted July 24, 2012 We also provide 3 hours of therapy on Saturday and Sunday for any patient who need one or both days to meet the 5 of 7 days. It depends on day of admit and also if they are short hours during the week. It is a challenge for us to do this, especially when our 12 bed unit is full and 8-9 patients need full therapy hours on the weekend. Brownrigg Clinical Coordinator Rehab Services Acute care and Inpatient Rehab Unit PeaceHealth St. ph Medical Center , ext 2384 From: PTManager [mailto:PTManager ] On Behalf Of Robin King, PT, C/NDT, CCCE Sent: Monday, July 23, 2012 10:49 AM To: PTManager Subject: Re: therapy hours on IRF We are providing another 3 hours Saturday and/or Sunday as well if they didn't meet one or two days. We have a different FI. Robin King, PT, C/NDT, CCCE Therapy Manager, Rehab Therapy Health Robin.King@...<mailto:Robin.King%40coxhealth.com> Phone: __________ Health - ranked one of Missouri's Best Hospitals by U.S. News & World Report COXHEALTH Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.