Change Of Therapy Rug

If the change is not significant enough the report explains that.

Change of therapy rug.

The addition of the new groups requires a recalibration of the case mix indices for all the rug iii groups. Updated rug 53 unadjusted case mix indices the updated nursing and therapy case mix index chart shows the distributional impact of adding 9 new groups to the rug iii hierarchy. 1 2019 providers will receive medicare part a per diem payments under a newly established patient driven payment model pdpm resident classification system. The change of therapy cot other medicare required assessment omra and the end of therapy with resumption omra began to be used on october 1.

If the rug level currently paying is a non therapy rug level due to index maximizing a cot is only required when the total reimbursable therapy minutes rtm would not result in a rug level classification change and all other therapy category qualifiers have remained consistent with the patient s current rug level classification then the. If you do not complete a cot when required you will be considered to have a late or missed assessment. Rug iv includes six therapy payment levels. Along with lowered resource utilization group rug rates shortened assessment windows and changes related to group therapy additional pps assessments are now required.

All the minutes days total minutes are shown for that date. For dates of service beginning oct. Ultra high very high high medium low and therapy non case mix.