Do therapy aide minutes count on the MDS 3.0?
MDS 3.0 Update, August 9, 2010
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Q: Are the minutes a therapy aide spends on set-up time recorded on the MDS and used in calculations to determine the RUG level?
A: The RAI User’s Manual for the MDS 3.0 states the following in regards to therapy aide time:
“Therapy Aides cannot provide skilled services. Only the time a therapy aide spends on set-up for skilled services preceding individual therapy may be coded on the MDS (e.g., set up the treatment area for wound therapy) and should be coded under individual minutes in O0400 Column 1. The therapy aide must be under direct supervision of the therapist or assistant.”
Therefore, when a therapy aide spends time on set-up for individual therapy skilled services, these minutes can be recorded in the individual therapy minutes item on the MDS 3.0, which is used to determine the appropriate RUG level for the resident. However, time a therapy aide spends on set-up for other modes of therapy (concurrent and group) cannot be recorded on the MDS and, therefore, does not help determine RUG levels.
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