Short Stay Rug Levels

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.

Short stay rug levels. Day of stay to day. Short stay skilled nursing care is time limited goal. 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.

The ard of the start of therapy omra must be on or before the 8 th day of the part a medicare. Use z0100a from 5 day from 1. 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. Level of self performance.

If earliest sot date is 1. Set the medicare short stay indicator z0100c as follows. Served by resource utilization group rug and case mix. Minimum data set mds 3 0 snf pps rug iv 23.

Day of short stay use short stay assessment z0100a entire stay 2. 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. 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. O if 5 day assessment before 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. 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. 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.

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. 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. A pps 5 day or readmission return assessment has been completed. The early discharge may be caused by benefits exhausting discharge home death or discharge the hospital.