Tobe considered amedicare short stay assessment and use the special rug iv short stay rehabilitation therapy classification all eight ofthe following conditions must.
Short stay rehab rug.
Rug iv uses an alternative rehabilitation therapy classification when an assessment isa medicare short stay assessment.
Short stay rehabilitation is time limited goal directed care.
Minimum data set mds 3 0 snf pps rug iv 21.
This type of assessment allows an alternative medicare short stay assessment rug rehabilitation therapy.
G0110 a b h i adl score of 2 or more and meets extensive services criteria see criteria bekow and.
Rugs and case mix are generated from the resident assessment instrument rai minimum data set mds.
Rehabilitation rx 150 minutes week minimum 5 days any combination of 3 rehabilitation disciplines.
Set the medicare short stay indicator z0100c as follows.
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.
Rugs identify clc residents treatment needs and the resources required to provide that care.
There is no guarantee of a rehab rug with short stay residents.
Yes and average 30 64 mins.
Case mix is a weighted average of rugs on a unit or in the clc.
Medicare short stay new must be discharged from part a on or before day 8 of part a stay payment policy only to obtain a therapy rug therapy is prorated based on.
Many scenarios that met some of the requirements for short stay payment grouped into rehab medium because the previous rug grouper added days from each discipline together.
Medicare short stay assessment is a start of therapy other medicare required assessment omra and is used for a short medicare part a stay that was not long enough to allow a complete rehabilitation therapy regimen to be established.
Low rehabilitation plus extensive services o0400 a c.
A pps 5 day or readmission return assessment has been completed.
There is no section t in mds 3 0.
Or z0100c medicare short stay indicator 1.
The assessment must be a start of therapy omra may be combined with 5 day and discharge.
Daily therapy minutes o rlx 15 29 minutes o rmx 30 64 minutes o rhx 65 99 minutes o rvx.
The ard of the start of therapy omra must be on or before the 8 th day of the part a medicare.
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.