Short Stay Rug Levels

Rug iv categories and characteristics 1 major rug iv category.

Short stay rug levels.

It allows assignment into a rehabilitation plus extensive services or rehabilitation category when a resident received rehabilitation therapy and was not able to receive 5 days. A pps 5 day or readmission return assessment has been completed. Day of stay to day. Levels of care are ultra high very high high medium or low intensity inpatient care depending on the veteran s needs and goals for rehabilitation.

The early discharge may be caused by benefits exhausting discharge home death or discharge the hospital. Level of self performance. Served by resource utilization group rug and case mix. Tobe considered amedicare short stay assessment and use the special rug iv short stay rehabilitation therapy classification all eight ofthe following conditions must.

Day of short stay use short stay assessment z0100a entire stay 2. The ard of the start of therapy omra must be on or before the 8 th day of the part a medicare. 9 difficulty in making self understood short term memory or decision making score on the cognitive performance scale 3 hallucinations delusions physical behavioral symptoms toward. 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.

As we have all learned the short stay policy can generate a higher rug score for rehabilitation patients who are discharged from the facility or terminated medicare coverage on or prior to day 8 in their snf stay. If earliest sot date is after 1. With the addition of the mds item o0420 distinct calendar days of therapy last october there is an increase in situations when a short stay assessment may be appropriate. Minimum data set mds 3 0 snf pps rug iv 23.

Short stay skilled nursing care is time limited goal. Use z0100a from 5 day from 1. Rug iv uses an alternative rehabilitation therapy classification when an assessment isa medicare short stay assessment. As a continuation from part 1 of our mds short stay policy post let s carry on with the 8 conditions required for the mds short stay policy.

Set the medicare short stay indicator z0100c as follows. Rug lv class 11 16 rlb 0 10 rla 2 or more restorative nursing services for 6 or more days or medicare short stay indicator yes 29 category iii. The assessment must be a start of therapy omra may be combined with 5 day and discharge. O if 5 day assessment before short stay assessment.