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therapy hours on IRF

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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@...

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