Change Of Therapy Rug

If the rug level currently paying is a non therapy rug level due to index maximizing a cot is only required when the total reimbursable therapy minutes rtm would not result in a rug level classification change and all other therapy category qualifiers have remained consistent with the patient s current rug level classification then the.

Change of therapy rug.

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. 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. Along with lowered resource utilization group rug rates shortened assessment windows and changes related to group therapy additional pps assessments are now required.

For dates of service beginning oct. Rug iv includes six therapy payment levels. 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.

A cot is required when the rug level increases or decreases. All the minutes days total minutes are shown for that date. The addition of the new groups requires a recalibration of the case mix indices for all the rug iii groups.