RE: Nursing RUG with Therapy minutes on MDS

Wed, 28 Jan 2004 12:14:40 -0800

The CMS grouper for Medicare.

"Williams, Renee" <[EMAIL PROTECTED]> wrote:
Which grouper does it this way?
 
-----Original Message-----
From: Nathan [mailto:[EMAIL PROTECTED]
Sent: Tuesday, January 27, 2004 5:21 PM
To: [EMAIL PROTECTED]
Subject: Re: Nursing RUG with Therapy minutes on MDS

Yes, the grouper works by calculating all the RUG categories the resident qualifies for and then picks the one with the highest CMI.
----- Original Message -----
Sent: Tuesday, January 27, 2004 1:42 PM
Subject: Re: Nursing RUG with Therapy minutes on MDS

isn't it the software will default to higher rug payment?

Nathan <[EMAIL PROTECTED]> wrote:
Not only is this ill-advised, but I don't believe it really has the desired effect.
 
Nathan
----- Original Message -----
Sent: Tuesday, January 27, 2004 7:33 AM
Subject: Re: Nursing RUG with Therapy minutes on MDS

If I understand you correctly you are saying that staff deliberately do not document therapy minutes to increase payment.  If this is the case it is fraud and something I would not want to be a part of.
Michelle 
----- Original Message -----
Sent: Monday, January 26, 2004 6:38 PM
Subject: Re: Nursing RUG with Therapy minutes on MDS

The RUG you are talking about, is it a higher reimbursed RUG than the therapy?  I just learned of something similar (i think) where they skill at extensive services and omit the minutes to therapy, even though it is provided, and payout is more in this RUG than and a therapy rug.?? Help anyone, not sure about what this is, heard it in a discussion with other homes.

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