there is a rate assigned to each RUG, so you will bill & they will pay the rate for whatever RUG level the MDS calculated to.
>From: "Michelle Witges" <[EMAIL PROTECTED]>
>Reply-To: [EMAIL PROTECTED]
>To: <[EMAIL PROTECTED]>
>Subject: Re: RUG rate for nursing coverage
>Date: Fri, 16 Apr 2004 14:50:29 -0500
>
>I am sorry, I guess I wasn't very specific. She was in a Med A bed, after qualifying hospital stay, for therapy and wound care. Therapy was d/c'd and wound healed but she was still having problems with labs PT/INR. Physician did not visit he just made order changes along with labs. There is adequate documentation for need of skilled service. My question is at what rate would they pay? I have a list of RUG's and dollar amounts but her assessment did not RUG out in the top 26. If Medicare agrees that she still needed skilled service due to monitoring/assessment, what rate will they pay? The rate that is assigned to the lower RUG's or what?
>Michelle
>
> ----- Original Message -----
> From: Ann Schoeny
> To: [EMAIL PROTECTED]
> Sent: Friday, April 16, 2004 11:14 AM
> Subject: RE: RUG rate for nursing coverage
>
>
> You have multiple order changes, but do you have M.D. visits? Did this person have a 3 day hospital stay, are they receiving therapy? Just being started on Coumadin would not necessarily place them in a "medicare"RUG
>
> ann m schoeny crnac
> sem haven nursing and rehab
> 225 cleveland ave.
> milford, ohio 45150
> (513) 248-1270
> -----Original Message-----
> From: Michelle Witges [mailto:[EMAIL PROTECTED]
> Sent: Friday, April 16, 2004 11:53 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
>
> This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If this message contains protected health information (PHI), it should not be forwarded to any other recipient without the authorization of the original sender and should be encrypted when possible. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the email address or telephone number above and delete this email from your computer.
>
> Thank You.
>
> Michelle Witges
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