Therapy Component Rug Rate

Therapy based on volume of services or non case mix base rate nursing does not reflect variations in non therapy ancillary use.

Therapy component rug rate.

Rug assignments weights are applied at the individual level but the average relative risk of a facility s residents is typically used to adjust the nursing components of state medicaid payment systems one exception. Unadjusted federal rates per diem rate component rug iv urban rural. The nta component is also a variable rate and is reduced over the length of stay. Cms s rai version 3 0 manual ch 3.

In rural facilities the nursing component base rate is 167 45 the therapy component is 152 24 and the other component is 91 11. The nta component is based on the presence of comorbidities and extensive services received. All residents are now classified into one of six nta case mix groups and payment for nta services are broken out from nursing services as currently is done under rug iv. Beginning day 4 through the remainder of the stay the nta component receives 100 of the base per diem rate.

9 therapy tep has been a valuable resource recommendations from the therapy tep have been implemented in ongoing analyses and will inform planned. You can use it to view your facility s rates. Under pdpm there are five case mix components. Therapy provides their minutes nursing works on their adls and the facility gets paid a per diem rate.

The 2020 snf pdpm rate calculator is now available. You can use it to view your facility s rates. On july 31 2018 the fiscal year 2019 fy19 medicare skilled nursing facility snf final rule was released by the centers for medicare and medicaid services cms. Mds items g october 2014 page g 8 g0110.

Under the old system rug iv there were two case mix adjusted components. Therapy base rate therapy index rug or rehab non rehab payment rug non case mix therapy component non case mix component nursing base rate nta nursing 43 57. In the skilled nursing profession we have grown accustomed to this model since 1998. Daily payments to snfs are determined.

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. Nursing case mix adjusted 181 44 173 34 therapy case mix adjusted 136 67 157 60 therapy non case mix adjusted 18 00 19 23 non case mix adjusted 92 60 94 31. Physical therapy pt occupational therapy ot speech therapy st nursing and non therapy ancillary nta. Nta component receives 300 of the base per diem rate for days 1 3 of a stay.

Areas the nursing component base rate is 175 28 the therapy component base rate is 132 03 and the other component is a uniform 89 46 regardless of the case mix group.