Short Stay Rug Levels

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.

Short stay rug levels.

A pps 5 day or readmission return assessment has been completed. The assessment must be a start of therapy omra may be combined with 5 day and discharge. Served by resource utilization group rug and case mix. The short stay policy may apply if the resident dies discharges from the snf or discharges from a part a covered stay on or before day 8 of a part a covered snf stay.

Minimum data set mds 3 0 snf pps rug iv 23. 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. If earliest sot date is 1. Short stay skilled nursing care is time limited goal.

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. Day of short stay use short stay assessment z0100a entire stay 2. 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. Tobe considered amedicare short stay assessment and use the special rug iv short stay rehabilitation therapy classification all eight ofthe following conditions must.

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. If earliest sot date is after 1. Day of stay to day. O if 5 day assessment before 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. Special care high conditions or services special care high items adl score depressed rug iv class b0100 comatose with adl self performance of 4 or 8 15 16 yes he2. Rug iv uses an alternative rehabilitation therapy classification when an assessment isa medicare short stay assessment. 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.

Rug iv categories and characteristics 1 major rug iv category. Use z0100a from 5 day from 1. Set the medicare short stay indicator z0100c as follows. The ard of the start of therapy omra must be on or before the 8 th day of the part a medicare.