Eli's Rehab Report
When Should You Do a Change in Therapy for a SNF Resident?
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Question: I am still confused about when to do a Change in Therapy (COT). I was under the impression that I could do a COT to increase from a clinical to a rehab RUG, but I am not told that this is not true.
Answer: Marilyn Mines, RN, BC, RAC-CT, of FR&R Healthcare Consulting in Deerfield, IL says the Centers for Medicare & Medicaid Services (CMS) recently clarified the requirements for doing a COT OMRA, but they are confusing to many MDS Coordinators. Under the October 2013 clarification on 2-51 of the RAI manual, a COT cannot be completed for a resident that is not currently in a therapy RUG.
This will alter the completion of COTs making communication between nursing and therapy even more critical than ever.
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When Should You Do a Change in Therapy for a SNF Resident?
Question: I am still confused about when to do a Change in Therapy (COT). I [...]