Change Of Therapy Rug

The addition of the new groups requires a recalibration of the case mix indices for all the rug iii groups.

Change of therapy rug.

Rug iv includes six therapy payment levels. Ultra high very high high medium low and therapy non case mix. 1 2019 providers will receive medicare part a per diem payments under a newly established patient driven payment model pdpm resident classification system. If you do not complete a cot when required you will be considered to have a late or missed assessment.

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. If the change is not significant enough the report explains that. 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. For dates of service beginning oct.

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. Along with lowered resource utilization group rug rates shortened assessment windows and changes related to group therapy additional pps assessments are now required. All the minutes days total minutes are shown for that date.