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The resulting sum is the total number of units you can bill medicare for a particular date of service.
Medicare rug therapy minutes. Cms s rai version 3 0 manual ch 3. Mds items g october 2014 page g 8 g0110. 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. But if seven or fewer minutes remain medicare will not reimburse you for another full unit and you must essentially drop the remainder.
Let s say that on a single date of service you perform 30 minutes of therapeutic exercise ex 15 minutes of manual therapy mt 8 minutes of ultrasound us and 15 minutes of electrical stimulation unattended esun. 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. Fy 2001 snf pps proposed rule april 1 2000. Rug iv categories and characteristics 1.
Receiving physical therapy occupational therapy and or speech language pathology services while a resident. 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. Under rug iv the number of pt ot and slp therapy treatment minutes are combined for a total number of treatment minutes that is used to classify a given patient into a given therapy rug under pdpm patient characteristics will be used to predict the therapy costs associated with a given.
A week minimum at least 2 disciplines 1 discipline 5 days. 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 changes to such a degree that it would no longer reflect the rug iv classification and payment assigned based on the most recent assessment used for. For medicare part a there is a limitation that the group minutes. 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.
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. The rug levels are.
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