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.
Short stay rehab rug.
Rehabilitation rx 150 minutes week minimum 5 days any combination of 3 rehabilitation disciplines.
This type of assessment allows an alternative medicare short stay assessment rug rehabilitation therapy.
G0110 a b h i adl score of 2 or more and meets extensive services criteria see criteria bekow and.
Tobe considered amedicare short stay assessment and use the special rug iv short stay rehabilitation therapy classification all eight ofthe following conditions must.
As a continuation from part 1 of our mds short stay policy post let s carry on with the 8 conditions required for the mds short stay policy.
Rugs and case mix are generated from the resident assessment instrument rai minimum data set mds.
Rugs identify clc residents treatment needs and the resources required to provide that care.
Set the medicare short stay indicator z0100c as follows.
Medicare short stay assessment is a start of therapy other medicare required assessment omra and is used for a short medicare part a stay that was not long enough to allow a complete rehabilitation therapy regimen to be established.
Case mix is a weighted average of rugs on a unit or in the clc.
It allows assignment into a rehabilitation plus extensive services or rehabilitation category when a resident received rehabilitation therapy and was not able to receive 5 days.
Minimum data set mds 3 0 snf pps rug iv 21.
The short stay policy may apply if the resident dies discharges from the snf or discharges from a part a covered stay on or before day 8 of a part a covered snf stay.
Many scenarios that met some of the requirements for short stay payment grouped into rehab medium because the previous rug grouper added days from each discipline together.
The ard of the start of therapy omra must be on or before the 8 th day of the part a medicare.
Low rehabilitation plus extensive services o0400 a c.
There is no guarantee of a rehab rug with short stay residents.
In mds 2 0 residents who discharged earlier than day eight could obtain a rehab rug in many cases using therapy estimations in section t after therapy evaluations were completed and therapy was scheduled.
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.
Daily therapy minutes o rlx 15 29 minutes o rmx 30 64 minutes o rhx 65 99 minutes o rvx.
There is no section t in mds 3 0.
Rug iv uses an alternative rehabilitation therapy classification when an assessment isa medicare short stay assessment.
A pps 5 day or readmission return assessment has been completed.
The assessment must be a start of therapy omra may be combined with 5 day and discharge.
