Therapy Minutes Rugs Categories

Receiving physical therapy occupational therapy and or speech language pathology services while a resident.

Therapy minutes rugs categories. 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. Allocated group therapy minutes 15 minutes are then used to determine each patient s rug classification. Mds 3 0 rug iv 66 category table urban adls end splits rug cmi rate 042 aids 15 16 signs of depression le2 45 412 73 941 02 15 16 no signs le1 33 345 26 787 19 11 14 signs of depression ld2 42 396 66 904 38 11 14 no signs ld1 27 332 42 757 92. Therefore evaluation minutes are already accounted for and are not to be reported.

O for definitions during the last 7 days. Ultra u 720 minutes. In addition the rug iv grouper will only calculate a rehabilitation medium rug category when 150 minutes of therapy is provided across 5 distinct calendar days. 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.

Cms provides nursing and therapy weights that are used along with other component factors to establish person level per diem payments for skilled nursing facility snf care under medicare. Having a minimum activity of daily living adl dependency score of 2 or more. Major rug categories of rugs rug 34 rug 44 rug 53 rehabilitation extensive services 9 1 rehabilitation services 14 1 2 extensive services 3 1 2 3. Category rug iv score characteristics associated with major rug iv category.

2 disciplines one 5days. In other words within the 7 day observation period of the mds or cot review therapists must deliver services to the patient on at least 5 of the 7 days in the observation period from. Rapid rug guide rug iv 57 group classification 1 2016 category i. Receiving physical therapy occupational therapy and or speech language pathology services while a resident.

The unallocated group time is divided by four by the rug iv grouper. Ultra u 720 minutes very high v 500 719 minutes high h 325 499 minutes. Time spent on evaluation was included in the calculation of the rug rates. Facility records 60 minutes of group therapy for each resident on each mds.