Change Of Therapy Rug

A cot is required when the rug level increases or decreases.

Change of therapy rug.

The addition of the new groups requires a recalibration of the case mix indices for all the rug iii groups. 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. For dates of service beginning oct. If the change is not significant enough the report explains that.

All the minutes days total minutes are shown for that date. They are required when a medicare part a resident receiving rehabilitation therapy qualifies for an ultra high very high high medium or low rehabilitation resource utilization group rug and when the intensity of therapy service changes to the point that the current payment category rug is no longer applicable. Ultra high very high high medium low and therapy non case mix. If you do not complete a cot when required you will be considered to have a late or missed assessment.

1 2019 providers will receive medicare part a per diem payments under a newly established patient driven payment model pdpm resident classification system. 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. Along with lowered resource utilization group rug rates shortened assessment windows and changes related to group therapy additional pps assessments are now required.