Medicare Rug Levels Therapy Minutes

Rug iv categories and characteristics 1.

Medicare rug levels therapy minutes. Allocated group therapy minutes 15 minutes are then used to determine each patient s rug classification. Activities of daily living adl assistance cont adl self performance algorithm start here remember to review the instructions for the rule of 3 and the adl self. A week minimum at least 2 disciplines 1 discipline 5 days. Slps occupational therapists and physical therapists recommend the frequency and length of sessions that they anticipate a patient will need.

Ultra u 720 minutes very high v 500 719 minutes high h 325 499 minutes. As part of the mds the number of occupational therapy minutes will be combined with physical and speech therapy to establish a resource utilization group rug 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. Cms s rai version 3 0 manual ch 3.

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. Receiving physical therapy occupational therapy and or speech language pathology services while a resident. This level is set within three days of the fifth 14 th 30 th 60 th and 90 th days of a patient s. This rug level will impact the amount medicare will reimburse the facility.

Facility records 60 minutes of group therapy for each resident on each mds. Fy 2001 snf pps proposed rule april 1 2000. Abt associates report 2000 the goal of this study was to review the rug iii classification system with particular emphasis on the care needs of medically complex medicare beneficiaries and the variation in non therapy ancillary services within rug iii categories. 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.

Mds items g october 2014 page g 8 g0110. The unallocated group time is divided by four by the rug iv grouper. The rug levels are.