Title: Message
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Medicare payment is based on the RUGs
category. Your billing office should have the current rates. If it is not in the
top 26 the documentation needs to support the need for the skilled
service.
We had a resident who was started on Coumadin and having PT/INR done
every other day with multiple med changes. When the RUG was calculated
it was not in the top 26 RUGs. What rate would medicare pay in a
sitution?
Michelle
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Thank You.
Michelle Witges
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