I wonder if this resident would have fallen into a Clinically Complex due to the multiple order changes.  Were there any MD visits.  Flexing the ARD in this circumstance is crucial to ensure you capture the highest number of order changes and MD visits.
 
Ron
-----Original Message-----
From: Michelle Witges [mailto:[EMAIL PROTECTED]
Sent: Friday, April 16, 2004 10:53 AM
To: [EMAIL PROTECTED]
Subject: RUG rate for nursing coverage

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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