Patients who receive fewer than the required minutes will be lowered to the next rug level.
Medicare rug levels minutes.
These thresholds are minimum requirements and medicare rules clearly state that if the rehabilitation professional and attending physician agree that the patient needs additional minutes the facility must arrange and pay for.
A week minimum 1 discipline 5 days a week.
Rug iv background 1 strive staff time and resource intensity verification why o 1990 1995 1997 studies o practice changes resident mix changes and technology advances what o data collection staff time assessment data mds 2 0 strive addendum.
The unallocated group time is divided by four by the rug iv grouper.
There is no medicare penalty if a patient exceeds the number of minutes in the rug in a particular week.
A week minimum at least 1 discipline 5 days.
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.
4 7 rha 15 18 rmc 8 14 rmb.
August 23 2011 rug iv and mds 3 0 13.
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.
For medicare part a there is a limitation that the group minutes.
Allocated group therapy minutes 15 minutes are then used to determine each patient s rug classification.
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.
4 8 rva 13 18 rhc 8 12 rhb.
Having a minimum adl dependency score of 2 or more.
The highest of the five rehabilitation rug levels ultra high requires at least 720 therapy minutes per week followed by very high at least 500 minutes.
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 o 6 10 b o 0 5 a extensive services es3 es2 es1 residents satisfying the following two conditions.
Facility records 60 minutes of group therapy for each resident on each mds.
