Change Of Therapy Rug

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.

Change of therapy rug.

Rug iv includes six therapy payment levels. 1 2019 providers will receive medicare part a per diem payments under a newly established patient driven payment model pdpm resident classification system. If the change is not significant enough the report explains that. Along with lowered resource utilization group rug rates shortened assessment windows and changes related to group therapy additional pps assessments are now required.

They are required when a medicare part a resident receiving rehabilitation therapy qualifies for an ultra high very high high medium or low rehabilitation resource utilization group rug and when the intensity of therapy service changes to the point that the current payment category rug is no longer applicable. If the therapy on the 7 day date has changed and the change is significant enough to alter the rugs score category then a cot must be created and submitted. 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 you do not complete a cot when required you will be considered to have a late or missed assessment.

For dates of service beginning oct. 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. All the minutes days total minutes are shown for that date.