Allocated group therapy minutes 15 minutes are then used to determine each patient s rug classification.
Therapy minutes rugs categories.
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.
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.
Rehabilitation o0400 therapies o0400a speech language pathology and audiology services o0400a 1 2 3 4 1 individual concurrent group minutes and therapy days o0400b occupational therapy and o0400b 1 2 3 4 individual concurrent 5 distinct group minutes and therapy days.
Receiving physical therapy occupational therapy and or speech language pathology services while a resident.
Instructions from administration or staff to limit evaluation time may be an indirect way of reminding clinicians to maximize therapy time e g in an hour session 45 minutes would be.
Time spent on evaluation was included in the calculation of the rug rates.
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.
Ultra u 720 minutes.
Rapid rug guide rug iv 57 group classification 1 2016 category i.
Therefore evaluation minutes are already accounted for and are not to be reported.
Rug iv categories and characteristics.
Ultra u 720 minutes very high v 500 719 minutes high h 325 499 minutes.
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.
Facility records 60 minutes of group therapy for each resident on each mds.
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.
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.
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.
Receiving physical therapy occupational therapy and or speech language pathology services while a resident.
2 disciplines one 5days.
Having a minimum activity of daily living adl dependency score of 2 or more.