Re: Rehab RUG

[Hallock]

Remember in a Case Mix state, i.e. Pa. if you have a resident who was Medicaid prior to hosp and return Medicare then back to MA or will go MA in the next year, you will want to use a 7 day reference period on your admission or sig change readmission assessment as CMI does not recognize projected therapy days and minutes, only actual days and minutes and MA does not recognize IV meds in SE group but drops down to SS group. Therefore  a PPS assessment that RUGGED at RMC, with a 7 day referece period if is current for CMI purposes when resident goes back on MA, the CMI # would be 2.07 I believe. With a 5 day reference period, even if IV meds noted in P1a, the CMI # would drop to a 1.46 or 1.56. That is a big $ difference. -----Original Message----- From: [EMAIL PROTECTED] <[EMAIL PROTECTED]> To: [EMAIL PROTECTED] <[EMAIL PROTECTED]> Date: Thursday, March 04, 2004 7:33 PM Subject: Re: Rehab RUG The SE3 did not yield because therapy minutes were provided.  Case mix indexing determines the final RUG score.  The higher reimbursed RUG will not always prevail.