MDS 3.0 Rehab-related Changes

MDS 3.0 brings many changes to our facility including some that specifically impact the rehab department and your financial viability.  Some key rehab related changes include:

• The elimination of Section T to project patients into the Medium or High Category even when the required minutes/days for those categories weren’t provided during the assessment reference period.
•  The treatment minutes delivered to a patient concurrently with another patient’s treatment are divided in half by the MDS 3.0 Grouper to determine the total for the RUG level.
•  An End of Therapy OMRA must be done 1-3 days after therapy discharge instead of 8-10 days.
•  A Start of Therapy OMRA can now be done to determine a Rehab RUG category before the next regularly scheduled assessment.
• A Medicare Short Stay Assessment may be done to capture a Rehab RUG level if the patient discharges on or before day 8.
• Treatment minutes completed by therapy aides or techs cannot be counted on the MDS but the time they spend setting up a treatment can.
• Treatment minutes completed by students can only be counted if done in direct line of site of a supervising therapist or assistant who is not treating another patient at the same time.