Report actual therapy minutes on mds.
Therapy minutes for rug levels.
You can bill 2 units of 97110 and 1 unit of 97140.
This is part of the mds information about the patient s needs that is combined to determine the patient s rugs resource utilization groups level.
Rug iv o 8 classification levels.
Ultra u 720 minutes very high v 500 719 minutes high h 325 499 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.
66 groups o conditions added removed moved.
Rug iv adl score 2 differences from rug iii score range 0 16.
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.
Ultra u 720 minutes.
Residents receiving physical therapy occupational therapy and or speech language pathology services while a resident.
If you look up 40 minutes on the chart you can bill for a maximum of 3 units 38 to 52 minutes.
You count the first 30 minutes of 97110 as 2 full units then add the additional 3 minutes of 97110 33 minutes.
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.
O do not round o grouper applies concurrent and group methodology.
Levels of resource need in long term care settings primarily to facilitate medicare and medicaid payment they are assigned to individuals based on data elements derived from the ltc minimum data set mds there is a standard order or hierarchy and each rug is associated with relative weighting factors.
O for definitions during the last 7 days.
To obtain a therapy rug therapy is prorated based on.
Slps occupational therapists and physical therapists recommend the frequency and length of sessions that they anticipate a patient will need.
Daily therapy 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.
The rug levels are.
Receiving physical therapy occupational therapy and or speech language pathology services while a resident.
The medicare payment advisory commission med pac the centers for medicare and medicaid services cms and the department of health and human services.
Second at least 3days 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.
