WE LOVE OUR THERAPISTS! AND, WE ARE PASSIONATE ABOUT LEARNING! Throughout the month of February, we are providing Learning “Oppties”. To learn more about the February Learning “Oppties” program, please read the introductory article posted January 31. On Tuesday, February 14 (Valentine’s Day), over 14 of our therapists wrote inspiring blogs, sharing stories from the heart. Take a moment to check out some of their writings.
Today’s Learning “Opptie” is related to the recording of time for patient’s receiving services therapy services in a Skilled Nursing Facility. We have spent time discussing the three primary modes of treatment defined by CMS in the RAI Manual for MDS 3.0, v1.07, Section O, Chapter 3. Remember, you can access this manual online at CMS.GOV. Did you know that, according to the RAI manual, a resident may receive therapy via different modes during the same day or even treatment session? When developing the plan of care, the therapist and assistant must determine which mode(s) of therapy and the amount of time the resident receives for each mode and record the minutes appropriately. The therapist and assistant should document the reason a specific mode of therapy was chosen as well as anticipated goals for that mode of therapy.
Here is the Learning “Oppties” challenge: Mrs. V, whose stay is covered by SNF PPS Part A benefit, begins therapy in an individual session. After 13 minutes, the therapist begins working with Mr. S., whose therapy is covered by Medicare Part B, while Mrs. V. continues with her skilled intervention and is in line-of-sight of the treating therapist. The therapist provides treatment during the same time period to Mrs. V. and Mr. S. for 24 minutes who are not performing the same or similar activities, at which time Mrs. V’s therapy session ends. The therapist continues to treat Mr. S. individually for 10 minutes. How would the therapist code each individual’s treatment? (Hint: Medicare Part B does not allow concurrent billing). Be sure to indicate the name of your facility so that you can be entered to win an “Opptie” prize! Thank you for your participation.