Brant fries 2003 using data from our 2001 analysis files and replicated and validated the research.
Therapy rugs for rehab.
The urban institute re examined prior efforts by abt associates 2000 and dr.
The rug levels are.
Prior to october 1 2013 the mds rug iv grouper allowed the classification criteria to be met for the medium rehabilitation category without 5 distinct days of therapy.
Rug iv categories and characteristics 1 major rug iv category rug iv score characteristics associated with major rug iv category rehabilitation plus extensive services rux rul rvx rvl rhx rhl rmx rml rlx residents satisfying all of the following three conditions.
Consider the data illustrated in figure 2 below in which the percentage of total assessments is represented on the y axis and the total number of allocated therapy minutes is represented on the x axis.
If you receive 499 minutes of therapy your rug level is high but if you receive 500 minutes of therapy your rug level is very high and medicare reimbursement increases.
Although therapy was provided for a total of 10 visits the rehabilitation medium criteria will not be met and a nursing rug classification will apply.
The aim of the rug refinement is to improve the ability of the existing rug iii classification system to explain non therapy ancillary nta costs.
This is part of the mds information about the patient s needs that is combined to determine the patient s rugs resource utilization groups level.
Rug iii v5 12 descriptors for sb mds 2 0 category adl index end splits rug codes 16 18 ruc 9 15 rub rehabilitation ultra high rx 720 mins.
Mds 3 0 and rug iv updates and training for.
Cot omra august 23 2011 rug iv and mds 3 0 2.
The intensity of therapy as indicated by the total reimbursable therapy minutes delivered and other therapy qualifiers such as the number of therapy days and disciplines providing therapy.
Major rug categories of rugs rug 34 rug 44 rug 53 rehabilitation extensive services 9 1 rehabilitation services 14 1 2 extensive services 3 1 2 3 rehabilitation services 4 2 special care 3 3 3 4 clinically complex 6 4 4 5 impaired cognition 4 5 5 6 behavioral 4 6 6 7 reduced physical functions 10 7 7 8 hierarchical level.
Slps occupational therapists and physical therapists recommend the frequency and length of sessions that they anticipate a patient will need.
A week minimum at least 2 disciplines 1 discipline 5 days.
The resident received a level of rehabilitation therapy to qualify for an ultra high very high high medium or low rehabilitation rug iv category.
The tiered reimbursement system of rug levels outlined above presents the following problem.
