You are using 2 different ARD's with different coding. The difference in the RMC and SE3 is not related to therapy. The SE3 may only be obtained through IV meds, etc. See the clarification in the MDS manual in chapter 6.
Brenda W. Chance, RN, RAC-C MDS Coordinator CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: Gola, Tammy [mailto:[EMAIL PROTECTED] Sent: Thursday, November 06, 2003 11:18 AM To: '[EMAIL PROTECTED]' Subject: Software and RUG's 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] /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
