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Coding O0400, Therapies

MDS 3.0 Update, January 9, 2012

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Version 1.07 of the RAI User’s Manual contains many changes that went into effect October 1. Keeping track of all the changes is enough to make your head spin. So let’s take it one step at a time and look at some of the new coding instructions for Section O0400 (future issues will cover the remaining changes to Section O0400):

• Concurrent therapy: The minutes being coded on the MDS are unadjusted minutes, meaning, the minutes are coded in the MDS as the full time spent in therapy; however, the software grouper will allocate the minutes appropriately. In the case of concurrent therapy, the minutes will be divided by two.
• When a therapy student is involved with the treatment, and one of the following occurs, the minutes may be coded as concurrent therapy: The therapy student is treating one resident and the supervising therapist/assistant is treating another resident, and both residents are in line of sight of the therapist/assistant or student providing their therapy; or the therapy student is treating two residents, regardless of payer source, both of whom are in line-of-sight of the therapy student, and the therapist is not treating any residents and not supervising other individuals.

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