Hi, I know that this was recently discussed, but I'm going to ask it
anyways. What is the correct way to bill the right RUG, by the higher
reimbursed RUG or higher CMI RUG. I have a patient that if I use day 11, I
RUG at RMC. If I use day 14 I get a SE3 RUG. Another thought is that on
the one using day 11, I don't have 5 consecutive days of therapy between the
2 disciplines. but I do have 175 minutes. (there were 3 days for OT and 2
days for PT but on the same days). Which is the correct way to do this. At
one point, I thought my software always pulled the higher paying RUG, but I
guess not.
Tammy Gola BSN, RN, CRNAC
Wilkes-Barre General Hospital
Transitional Care Unit
575 North River Street
Wilkes-Barre, PA. 187641-0001
570-552-5417
[EMAIL PROTECTED]
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