Effective october 1 2014 excel.
Rug levels snf 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 patient rather than rely on service use.
Rug group and the last two positions of the code contain a 2 digit assessment indi cator ai code.
Increased rug submit adjustment within 120 days from through date listed on claim.
Effective october 1 2016 excel.
O for definitions during the last 7 days.
Effective october 1 2015 excel.
Decreased rug allowed to submit adjustment after 120 days to refund medicare.
Family care pace partnership 1.
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.
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.
The rug levels are.
Effective october 1 2017 excel.
Due to rounding a slight variance may exist between the spreadsheets below and actual medicare payments.
Adjusting a snf rug.
Enrolled in family care may be eligible at a wisconsin medicaid nursing home certifiable level of care or at a.
A federal government website managed by the centers for medicare medicaid services 7500 security boulevard baltimore md 21244.
Minimum data set mds 3 0 snf pps rug iv 2 agenda snf pps assessments.
For each therapy discipline the total minutes used for rug iv classification include all minutes in individual therapy one half of the minutes in concurrent therapy although total minutes received are documented on each resident s mds and all minutes in group therapy.
4 8 rua 16 18 rvc 9 15 rvb.
Iom publication 100 04 medicare claims processing manual chapter 6 section 30 3.
Slps occupational therapists and physical therapists recommend the frequency and length of sessions that they anticipate a patient will need.
A week minimum at least 2 disciplines 1 discipline 5 days 2nd at least 3 days.
Skilled nursing facility.
At least 720 minutes.
Access the listings of resource utilization groups rugs for skilled nursing facilities snfs from the links below.