RUG Levels

Ask the payment expert ... about clinical qualifiers

Ask the payment expert ... about clinical qualifiers

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Most of our residents are covered under rehab services, so why do we need to worry about capturing clinical qualifiers?

Reviewing RUG levels

Reviewing RUG levels

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From the Medicare Benefit Policy Manual Chapter 8, we know rehabilitation skilled level of care requires the delivery of skilled therapy five distinct days a week. While this requirement is usually easy to meet with more than one therapy discipline treating the resident, the MDS does not currently capture how many calendar days therapy was provided in the seven-day look-back period.