RE: FW: MDS Question

[Faye Jones]

We use them fairly regularly with the 5 day MDS.  A lot of our residents take 2-3 days to be set up with both PT and OT and will receive enough therapy for us to be paid at the Rehab high RUG and we do use grace days to be sure and capture it.  We have never had a problem with our intermediary or anyone else.   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Wednesday, January 28, 2004 9:19 PM To: [EMAIL PROTECTED] Subject: Re: FW: MDS Question   In a message dated 1/28/2004 6:10:43 PM Eastern Standard Time, [EMAIL PROTECTED] writes: Hi All: I have a question from one of our Medical Records personnel.  Can anyone help with this one?                         I have an MDS question for you, is it OK to use 2-3 grace days with every 5day MDS? Can you tell me how should an facility use the grace days. We have an out side Therapy that comes in and see our residents, they are telling us they used 3 grace days all the time, is this OK. We want to make sure that our facility is doing this correctly. Please let us know any thing about the grace days.         Thanks         Patty Ooton                                                                       Confidentiality Statement          The information contained in this e-mail and any attachments to this message are intended to the exclusive use of the addressee(s) and may contain confidential or privileged information. If you are not the intended recipient, please notify The Terraces immediately at 602-371-4162 or [EMAIL PROTECTED] and destroy all copies of this e-mail and any attachments. It's my understanding that grace days should only be used when appropriate to place a resident in a RUGs category that accurately reflects the care he receives.  I use grace days as rarely as possible.  A good reason to use them would be if the resident wasn't well enough to participate in therapy the first few days after admission but is expected to be able to participate in therapy soon.  I also use grace days occasionally when an admission comes late, right before the weekend and therapy doesn't get in to start treatment right away.  I think that it would be a bad idea to use grace days routinely.  May cause the state to review what you are doing. Janice Martin, RN MDS Coordinator Plymouth, MI