Rug Minute Levels

For each therapy discipline the total minutes used for rug iv classification include all minutes in individual therapy one half of the minutes in concurrent therapy although total minutes received are documented on each resident s mds and all minutes in group therapy.

Rug minute levels. Mds 3 0 rug iv 66 category table urban adls end splits rug cmi rate 042 aids 15 16 signs of depression le2 45 412 73 941 02 15 16 no signs le1 33 345 26 787 19 11 14 signs of depression ld2 42 396 66 904 38 11 14 no signs ld1 27 332 42 757 92. 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. Development of a maintenance program and training of caregivers prior to discharge. The tiered reimbursement system of rug levels outlined above presents the following problem.

The minutes are divided by two after being coded in the mds. Daily therapy minutes o rlx 15 29 minutes o rmx 30 64 minutes o rhx 65 99 minutes o rvx. Rug iv background 1 strive staff time and resource intensity verification why o 1990 1995 1997 studies o practice changes resident mix changes and technology advances what o data collection staff time assessment data mds 2 0 strive addendum. Facilities therefore have an incentive to pressure therapists to provide that.

Medicare short stay new must be discharged from part a on or before day 8 of part a stay payment policy only to obtain a therapy rug therapy is prorated based on. 4 8 rua 16 18 rvc 9 15 rvb. 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. 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.

Minimum data set mds 3 0 snf pps rug iv 21. There is no medicare penalty if a patient exceeds the number of minutes in the rug in a particular week. Rugs are mutually exclusive categories that reflect levels of resource need in long term care settings primarily to facilitate medicare and medicaid payment they are assigned to individuals based on data elements derived from the ltc minimum data set mds there is a standard order or hierarchy and each rug. Rug resource utilization groups is a patient classification system for nursing home patients used by the federal government to determine reimbursement levels for skilled nursing home facilities.

O for definitions during the last 7 days.