You got it!
Brenda W. Chance, RN, RAC-C
MDS Coordinator
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-----Original Message-----
From: Vogt, Kathy
[mailto:[EMAIL PROTECTED]
Sent: Wednesday, November 12, 2003
1:49 PM
To: [EMAIL PROTECTED]
Subject: RE: PPS schedule question
There are two PPS
schedules that you can plug the name and date of admit into on the ANAAC
website. I have probably a very stupid question. I have only
initiated one question on this list serve but replied to several. I can't
remember what the procedure is to start a question. I have tried twice to
put the [EMAIL PROTECTED] inthe address
box. Is that not the proper address?
-----Original
Message-----
From: Jane Holmer
[mailto:[EMAIL PROTECTED]
Sent: Wednesday, November 12, 2003
12:19 PM
To: [EMAIL PROTECTED]
Subject: RE: PPS schedule question
It's all about maximization......staff
provide the needed services, it's our jobs to figure out how to legitimately
capture the $$. We use a variety of days for the ARDs. The ARD for
the 5 day is pretty consistent but after that, we highlight the available days
on our scheduler and watch them day by day to capture the opportunity to
maximize.
Had the "exception
review" a few years back and last year CMS requested records. Out
of both audits, we had one chart that had one assessment
"re-rugged" by CMS.
From the nightmares I
hear from others who endure the CMS audits, we are doing OK.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]On Behalf Of Vogt,
Kathy
Sent: Wednesday, November 12, 2003
12:05 PM
To: [EMAIL PROTECTED]
Subject: RE: PPS schedule question
I too have been
doing my assessments on a rigid schedule of 5, 14, etc. I had also been
told that using grace days would raise red flags. My FI ,Mutual of Omaha,
stated that this was not so. The grace days were there to take advantage
of the best RUG possible. Also have learned that by using day one or two
of the stay as the ARD for the 5 day, you can capture hospital services that
may put the resident into a higher paying category. This has worked out
well for me as I am very involved in the admission process. Also another
trick I have heard of is to look at the end splits r/t ADL performance.
On the first days of stay, residents generally require more assistance than
they do on day 5 or later. This can give you a higher paying RUG level for
the first 15 days just based on the ADL score.
-----Original
Message-----
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Tuesday, November 11, 2003
2:35 PM
To: [EMAIL PROTECTED]
Subject: PPS schedule question
I have always been setting my 5 day assessment, 14 day
assessment, 30 day assessment, 60 day assessment and 90 day assessment on the
5th, 14th, 30th, 60th and 90th day of a patients stay unless they are capable
of being graced to other days. I have been setting my schedule up using
day 30, 60 and 90 since the initiation of PPS because that is the way I was
trained to do it. I recently had it brought to my attention that day
30-34, day 60-64 and day 90-94 are considered grace days. How are other
facilities setting up their schedules? Do you use day 29, 59, and 89 for
your PPS assessments? I know that if you consistently use grace days it
can send a red flag up and may cause a review and I don't want to do that
unless the patient would benefit from using the grace days.
Thanks in advance
Diane R. Wierenga RN BSN RAC-C
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