Fw: [Dysphagia] Medicare holidays

[v.cooper at sbcglobal.net (v.cooper)]

----- Original Message -----
From: "v.cooper" <v.cooper@sbcglobal.net>
To: <dyphagiadude@mailcan.com>
Sent: Saturday, December 04, 2004 9:12 AM
Subject: Fw: [Dysphagia] Medicare holidays


>
> ----- Original Message -----
> From: "v.cooper" <v.cooper@sbcglobal.net>
> To: <dysphagiadude@mailcan.com>
> Sent: Saturday, December 04, 2004 9:11 AM
> Subject: Re: [Dysphagia] Medicare holidays
>
>
> > This is too late for Thanksgiving, but I work for a rehab company in SNF
> and
> > this is what we do. If someone is not in a reference period for RUGS, we
> see
> > for 4 days in the week, doc the holiday, and increase minutes other days
> so
> > we have target min in the medicare week. If someone IS in a reference
> > period, I make sure that one discipline covers the 5 day requirement.
That
> > is usually PT, because my PTs love to work overtime.
> > But that is within the reference period, not necessarily on the holiday.
> My
> > company doesnt like to pay triple time for holiday work....
> >
> > We have never had a problem w/regulators or anyone else and I have been
> > w/this company for 10 years.
> >
> > V
> >
> >
> >
> > ----- Original Message -----
> > From: <dysphagiadude@mailcan.com>
> > To: "dysphagia listserv" <Dysphagia@b9.com>
> > Sent: Saturday, December 04, 2004 8:06 AM
> > Subject: [Dysphagia] Medicare holidays
> >
> >
> > > I provide SLP services in a nursing home setting in the USA.  The
rehab
> > > company I work for says that Medicare does not recognize any holidays,
> > > and demands 5 days a week of treatment if that's what the doctor's
order
> > > specifies.  That means that if per diem SLP coverage is not available
> > > for Thanksgiving and the day after, we need to cover for ourselves by
> > > working the Sunday before and the Saturday after the holiday.
> > >
> > > A friend who works for another rehab company takes off all holidays
and
> > > simply "charges" them to his Paid Time Off (PTO).  He says he's been
> > > told that Medicare DOES recognize national holidays, and that while 4
> > > days of treatment intereferes with the trend of expected RUG levels
when
> > > the PO states 5 days of treatment, it does not represent any problems
> > > for Medicare.
> > >
> > > Has anyone any insight into the facts here?
> > > **If you think one person can't make a difference in today's world,
just
> > light up a cigar in a crowded restaurant.**
> > >
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> >
>