Therapy Minutes For Rug Levels

Second at least 3days very high v 500 719 minutes high h 325 499 minutes medium m 150 324 minutes low l 45 149 minutes adl score o 11 16 c.

Therapy minutes for rug levels.

Rug iv adl score 2 differences from rug iii score range 0 16. The medicare payment advisory commission med pac the centers for medicare and medicaid services cms and the department of health and human services. Receiving physical therapy occupational therapy and or speech language pathology services while a resident. 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 is associated with relative weighting factors.

If you look up 40 minutes on the chart you can bill for a maximum of 3 units 38 to 52 minutes. Rug iv o 8 classification levels. O for definitions during the last 7 days. 7 minutes of manual therapy code 97140 total timed code treatment time is 40 minutes.

There are deep concerns around therapy minutes driving high reimbursement groups and many assessments scoring in those upper rugs were at or within 5 minutes of the rug minute threshold. To obtain a therapy rug therapy is prorated based on. 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. Residents receiving physical therapy occupational therapy and or speech language pathology services while a resident.

The rug levels are. Report actual therapy minutes on mds. 2 disciplines one 5days. Slps occupational therapists and physical therapists recommend the frequency and length of sessions that they anticipate a patient will need.

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 patient rather than rely on service use. Ultra u 720 minutes. 66 groups o conditions added removed moved. Ultra u 720 minutes very high v 500 719 minutes high h 325 499 minutes.

Rug iv categories and characteristics 1. Daily therapy minutes o rlx 15 29 minutes o rmx 30 64 minutes o rhx 65 99 minutes o rvx 100 143 minutes o rux 144 or minutes. O do not round o grouper applies concurrent and group methodology.