WE LOVE OUR THERAPISTS! AND, WE ARE PASSIONATE ABOUT LEARNING! Throughout the month of February, we are providing Learning “Oppties”. To learn more about the February Learning “Oppties” program, please read the introductory article posted January 31.
Today’s Learning “Opptie” is related to the RAI Manual for MDS 3.0, v1.07, Chapter 3, Section O (manual can be found by going to cms.gov). As a refresher, set-up time is the time required to adjust equipment or otherwise prepare th treatment area for skilled rehabilitation service. Set-up time is to be included in the count of minutes of therapy and may be performed by the therapist, therapist assistant or therapy aide. The set-up time shall be recorded under the mode for which the resident receives initial treatment when he/she receives more than one mode of therapy per visit.
“Oppties” challenge. While following the state supervision rules, the Physical Therapist directs the therapy aide to prepare the treatment area for Mrs. Q and Mrs. R treatment sessions. The therapy aide records 4 minutes of time to set up the equipment for Mrs. Q and 7 minutes of time to set up the treatment area for Mrs. R. The physical therapist provides therapies that are not the same or similar to Mrs. Q and Mrs. R at the same time, for 32 minutes. Both patients are receiving therapy services under the Medicare SNF PPS Part A benefit. Using the “Oppties” challenge and MDS information above, answer the following question:
- Which mode(s) of treatment and how many total minutes would be recorded for each resident?
Bill Mrs. Q for 36 total minutes, 32 of which will be billed as concurrent treatment minutes.
Bill Mrs. R for 39 total minutes, 32 of which will be billed as concurrent treatment minutes.
The Orchard
Hi, Kristin!
Thank you so much for participating in our Learning “Oppties” program. The total number of minutes to record for Mrs. Q is 36. And, the total number of minutes to recrord for Mrs. R is 39 minutes. All minutes are recorded as concurrent because that is the first mode of treatment provided to each patient following the set-up time. Does that make sense? You can read more about it and find additional examples in the RAI Manual for MDS 3.0 v1.07 Chapter 3, Section O. Thank you, again, for your participation and you have been entered to receive an OPPTIE award! Deb Bielek, Therapy Resource
Thanks, that’s clear now!
Hi, Kristin. I’m glad it helped. Deb Bielek, Therapy Resource
Mrs. Q would get 36 concurrent minutes and Mrs. R would get 39 minutes also concurrent due to the group therapy.
West Bend Care Center
West Bend, IA
Thanks, Janet! deb
Mrs Q would be billed for 36 mins and Mrs R is billed for 39 minutes of skilled therapy.
Mrs Q would be billed for 36 mins under concurrent and Mrs R is billed for 39 minutes under concurrent skilled therapy.
Hi, Lonnie.
Thank you for your response! Please be sure to check out our new learning OPPTIES challenges coming your way 🙂