Re: RUGs

[EHSINDCR]

In a message dated 11/2/2003 3:52:48 PM Central Standard Time, [EMAIL PROTECTED] writes: Respiratory is a "skilled service", just like physical therapy.  Therefore, if nursing is giving a 20 minute nebulizer treatment four times a day, and assume that the patient is receiving an hour of PT q.d., the number of minutes per 7 days of therapy is now 860 min. vs. 300 min. for PT 5 days.  Can't figure out why you have to beat the nursing director with the manual and payment rates to get them to change the MAR to capture the therapy minutes and Pulse Ox scores!!!!?????       Respiratory Therapy minutes are not factored into the total # of mintues for determining a Rehab RUG score.   If a resident is receiving 7 days of RT for at least 15 minutes a day, and their ADL score is greater than or equal to 7 then they would qualify for a Special Care RUG classification.  The Special Care classification only looks at the total # of days resident received RT not the minutes, however in order to be coded on the MDS the resident must have received a minimum of 15 mintues of RT to be callified as a day of RT.   If the ADL score is < 7 then they would qualify for the CA category.   Ron