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Fy 2001 snf pps proposed rule april 1 2000.
Medicare therapy rug levels. Ultra high very high high. Beginning in the therapy rugs are divided into five levels of therapy. Medicare regulations now state each snf would determine for itself the appropriate manner of supervision of therapy students consistent with applicable state and local laws and practice standards medicare program. 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.
Each rug has a different medicare per diem payment rate. Inappropriate payments to snfs cost medicare more than a billion dollars in 2009. The per deim rate is the amount of money provided to the facility to pay for the care of a patient covered under medicare part a. The tiered reimbursement system of rug levels outlined above presents the following problem.
Cms s rai version 3 0 manual ch 3. 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. 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. Mds items g october 2014 page g 8 g0110.
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