Consonus Advises

Question:  If therapy does not start right away on day of admit, am I required then to do a Start of Therapy PPS MDS?
Answer:  A Start of Therapy MDS (SOT) is an optional non-scheduled assessment.  MDS 3.0 no longer has section T in order to project a RUG into a therapy RUG category.  A Start of Therapy PPS MDS is only used to get a residents RUG score into a Rehabilitation...

Question:  We are transmitting our 5 day MDS and we are getting a Nursing RUG for day 1 and therapy RUG for the other days. Why is this happening?
Answer:  It sounds like you are coding your MDS as a Start of Therapy MDS rather than a Medicare 5 day PPS assessment. If you code as a Start of Therapy, then the therapy RUG will start on the day that you code section O0400A,B or C question 5, which...

Tracy Fritts, PT Regional Vice President for Consonus Rehab
Tracy Fritts received her Master’s of Science in Physical Therapy from Pacific University.  She is licensed as a PT in Oregon and Washington and she has been an active member in APTA and OPTA since 1990. She represented the OPTA as a Oregon PT Licensing...

Q: How do I complete section M on the discharge assessment if the resident is no longer in the facility and I cannot measure the wound or know what the wound bed looks like?
A: Each facility usually has a system in place to document wound progress. Often this is found on “Skin Progress Sheets”. The facility should determine if their progress sheets are accurate documents. This would be the source for current measurements...