Question

does this qualify for RUGS?

what is the RUG for this case?

what is the RUG payment?

Scenario 4: Patient's Age: 84-years-old Admission Date: 9/21/18 Admitted From: Sumner Regional Medical Discharge Date: 11/02/18 Discharged To: Home Length of Stay: 31 days Reason for Stay: Severe Arthritis Mr. Hix entered our community following a hospitalization for generalized weakness and lower back pain. Along with severe arthritis, he had been dealing with a bulging disc in his back and was recovering from chemotherapy treatment for tumors on his spine. When arriving at Gallatin Center for Rehabilitation and Healing, Mr. Hix was greeted by his nurse, Kris, nurses' assistant, Santos, and the community concierge, Billie. Mr. Hi met with the dietary and activities departments to discuss menu options and daily activities. He was also evaluated by the physical, occupational, and speech therapy teams, and has been receiving therapy six days a week ever since!

Answer 1

1. Yes the case is qualified for rug

2. The RUG is rehabilitation , impaired cognition and reduced physical function

3. The daily base rates are adjusted for case mix using a system known as resource utilization groups (RUGs). Each RUG has associated nursing and therapy weights that are applied to the base payment rates. A patient's day of care is assigned to one of.