Elisa Bovee, Vice President of Operations at Harmony Healthcare was recently quoted in two articles in Eli Researches MDS Alert.
"Upgrade Your Skilled Care Documentation to Stave Off Payment Recoupments."
Daily skilled nursing documentation is important for residents who are in rehab RUGs, stresses Harmony.
“Nursing anchors all care,” says Bovee, noting that’s really why patients are in the SNF. “They are skilled for nursing and rehab is a component.” So take a look at
what’s going on with the resident when he returns from therapy. “Is their O2 bumped up, blood sugar unstable — are they weak due to therapy, at risk of falls, etc.?”
Nursing should document all of those elements of care, especially teaching and training. “Documentation should also be clear that, as a practical matter, the care could only be provided in the SNF,”
She was also quoted in an article from the same publication entitled:
Don't Let Auditors Yank the Rehab RUGs Out From Under Your Bottom Line.
Keep tabs on what auditors are targeting. A the article states Harmony consultants are seeing automated reviewstargeting ICD-9 coding — for example, looking at having speech involved where there’s an orthopedic diagnosis for therapy. “We are also seeing therapy targeted when it’s provided within the 60-day payment window.”