MDS Alert

T1c. ESTIMATE OFNUMBER OFDAYS (first 14 days through day 15) Coding: Estimate of Number of Days - Enter the number of days at least one therapy service can be expected to have been delivered through the resident's fifteenth day of admission. Count the days of therapy already delivered from Item P1a, b, and c. Calculate the expected number or days through day 15, even if the resident is discharged before day 15. If orders are received for more than one therapy discipline, enter the number of days at least one therapy service is performed. For example, if PT is provided on MWF, and OT is provided on MWF, the MDS should be coded as 3 days, not 6 days.

T1d. ESTIMATE OFNUMBER OFMINUTES (first 14 days through day 15) Coding: Estimate of Number of Minutes - Enter the estimated total number of therapy minutes (across all therapies) it is expected the resident will receive through the resident's fifteenth day of admission. Include the number of minutes already provided from MDS Items P1ba(B), P1bb(B), and P1bc(B). Calculate the expected number of minutes through day 15, even if the resident is discharged prior to day 15.

Clarifications: Do not include evaluation minutes in the estimate of number of minutes. Do not count the evaluation day in the estimated number of days unless treatment is rendered.

If this is a Medicare 5-Day or a Medicare Readmission/Return Assessment, then the following apply (section T1b, T1c, T1d and section P1b [a, b, c]): Ordered Therapies, T1b is checked AND In the last 7 days: Received 65 or more minutes, P1b [a,b,c] AND In the first 15 days from admission: 520 or more minutes expected, T1d AND rehabilitation services expected on 8 or more days, T1c.

If this is a Medicare 5-Day or a Medicare Readmission/Return Assessment, then the following apply: (section T1b, T1c, T1d): Ordered Therapies, T1b is checked AND In the first 15 days from admission: 240 or more minutes are expected, T1d AND rehabilitation services expected on 8 or more days, T1c.

If this is a Medicare 5-Day or a Medicare Readmission/Return Assessment, then the following apply: (section P3 and section T1b, T1c, T1d): Ordered therapies T1B is checked AND In the first 15 days from admission: 75 or more minutes are expected, T1d AND rehabilitation services expected on 5 or more days, T1c AND 2 or more nursing rehabilitation services received for at least 15 minutes each with each administered for 2 or more days, P3.

Note: Residents will RUG into the above rehab groups based on the above requirements and their ADLscores. See the RAI manual, chapter 6, pp. 12 and 13.