Guest guest Posted September 15, 1998 Report Share Posted September 15, 1998 This is an advertisemnet for all those who supscribe to ptmanager. A workshop on " Everything you need to know about the Balanced Budget Act of 1997 and PPS " that includes a clinical and operational model will be held this Saturday September 19th in Toledo OH. This workshop was developed for PT, LPTA, OT, COTA & SLP's who work in a SNF. Presenters include Kovacek MSA PT and Janet Weinberg OTR. This is the last of 4 workshops offered this summer. There are a few seats still open and we are offering a discount to those on ptmanager of 20%. OH Lic. PT, LPTA, OT, COTA and SLP's can receive upto 5.25 ceu's. Please contact Dominck Guida at ADG Professional Development Company 1- / 1- (direct line)for more info or email at mrguida@infinet or visit ptotads.com and go to the seminar section for more details. comfar as weekends go, you should only have to see those patients who 1) > were admitted late in the week and did not receive their five days (more or > less, perhaps) that week, 2) missed a day of therapy during the week due to > illness, etc..., and 3) were admitted on Saturday or perhaps early on > Sunday. This obviously refers only to Med A /PPS patients and not to > managed care patients, as some MC contracts call for 7 days of therapy per > week. These conditions are obviously at the discretion of the attending > therapist who has developed the Rx plan and is monitoring continuity of > care, etc... You do not have to use days 1-5 but since your unit has a > relatively low LOS, you will likely need to see your weekend admits sometime > during the weekend for your department's reimbursement sake and most > importantly for the good of the short-term pt. who needs as many services as > you can provide. For example, a pt. who is transferred to your unit on Sat. > a.m. should not wait for therapy intervention until Monday. This disrupts > the continuity of care. You could: 1)eval & Rx the pt. on Sat. and then use > days 1-5, or 2)eval & Rx the pt. on Sun a.m. and then use days 2-6. There > are many scenarios to this approach; hope this provides some info as far as > weekend staffing goes. > > Dean Myers, MS, PT > > > Re: PPS -Reply -Reply > > > In response to: > We are a medicare-certified > outpatient rehab agency that contracts with SNFs. Most > of the SNFs went under PPS in July. We have reduce our > staff size in most of these facilities because of the reimbursement, > but most of my problems stem from the lack of knowledge on > the part of the nursing home about the regs.....can u tell me > what ur experiences have been? > > To the entire list: > >>>We go under PPS Jan 1, 1999. My biggest questions at this point are > " what rehab services I should provide on Saturday, Sunday, and > holidays... in order to maximize reimbursement, yet keep salary costs to > a > minimum... as much as possible. Also, do we always have to use day > 1-5 as our reference assessment period or can we use grace days on > weekend admits and shift our reference assessment period to days 2 > through 6 or 3 through 7... etc. > > I work in a hospital-based SNF with an average LOS of ~15 days. This > makes things a little different for us. Our therapists are employees of > the > hospital, so we do not have any services that are " contracted. " > > Any input or help would be appreciated, > Tina > Indpls, IN > > >>> 09/03/98 09:50am >>> > > > > > ______________________________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
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