星级的家庭护理质量评价体系.pptxVIP

星级的家庭护理质量评价体系第1页/共44页 NEW ASSESSMENTS WITH MDS 3.0Short-stay AssessmentOMRA’sEnd of Therapy OMRAStart of Therapy OMRA第2页/共44页 MEDICARE SHORT STAY ASSESSMENTHow do we determine if the assessment can be a Medicare Short Stay Assessment??Look at the Medicare Short Stay Assessment Algorithm handout……第3页/共44页 MEDICARE SHORT STAY ASSESSMENTDid at least one therapy discipline continue through the last day of the Medicare Part A stay?第4页/共44页 MEDICARE SHORT STAY ASSESSMENTAt least one of the therapy disciplines must have a dash-filled end of therapy date indicating ongoing therapy or an end of therapy date equal to the end of covered Medicare stay date (A2400C)Look at the Medicare End Date Algorithm A2400C handout……第5页/共44页 MEDICARE SHORT STAY ASSESSMENTTherapy is considered to be ongoing when:The resident was discharged and therapy was planned to continue had the resident remained in the facility, ORThe resident’s SNF benefit exhausted and therapy continued to be provided, ORThe resident’s payer source changed and therapy continued to be provided第6页/共44页 MEDICARE SHORT STAY ASSESSMENTThe RUG is calculated based on average daily minutes provided15-29 average daily tx minutes = RL30-64 average daily tx minutes = RM65-99 average daily tx minutes = RH100-143 average daily tx minutes = RV143 or greater average daily tx minutes = RU第7页/共44页 MEDICARE SHORT STAY ASSESSMENTEXAMPLE #1DAY 1DAY 2DAY 3DAY 4DAY 5DAY 6DAY 7Medicare Start DateMedicare End Date ARDTherapy EvalTherapy Tx 40 minutesTherapy Tx 45 minutesTherapy Tx 40 minutesDoes the resident meet short stay policy requirements? 第8页/共44页 MEDICARE SHORT STAY ASSESSMENTEXAMPLE #1SOT OMRA5-day assessmentStay is 8 days or less (7 days)ARD of SOT OMRA = end of Medicare stay dateARD is not more than 3 days after start of therapyTherapy started within last 4 days of stayTherapy continued through last day of stayRUG is Rehab groupRUG for days 4-7 = RM (Z0100A)第9页/共44页 MEDICARE SHORT STAY ASSESSMENTEXAMPLE #2DAY 1DAY 2DAY 3DAY 4DAY