Short stay skilled nursing care is time limited goal.
Short stay rug levels.
It allows assignment into a rehabilitation plus extensive services or rehabilitation category when a resident received rehabilitation therapy and was not able to receive 5 days.
The assessment must be a start of therapy omra may be combined with 5 day and discharge.
Rug lv class 11 16 rlb 0 10 rla 2 or more restorative nursing services for 6 or more days or medicare short stay indicator yes 29 category iii.
Day of short stay use short stay assessment z0100a entire stay 2.
The ard of the start of therapy omra must be on or before the 8 th day of the part a medicare.
O if 5 day assessment before short stay assessment.
Tobe considered amedicare short stay assessment and use the special rug iv short stay rehabilitation therapy classification all eight ofthe following conditions must.
Levels of care are ultra high very high high medium or low intensity inpatient care depending on the veteran s needs and goals for rehabilitation.
Special care high conditions or services special care high items adl score depressed rug iv class b0100 comatose with adl self performance of 4 or 8 15 16 yes he2.
If earliest sot date is after 1.
Use z0100a from 5 day from 1.
Served by resource utilization group rug and case mix.
Level of self performance.
As we have all learned the short stay policy can generate a higher rug score for rehabilitation patients who are discharged from the facility or terminated medicare coverage on or prior to day 8 in their snf stay.
The early discharge may be caused by benefits exhausting discharge home death or discharge the hospital.
The short stay policy may apply if the resident dies discharges from the snf or discharges from a part a covered stay on or before day 8 of a part a covered snf stay.
Rug iv categories and characteristics 1 major rug iv category.
Minimum data set mds 3 0 snf pps rug iv 23.
If earliest sot date is 1.
Set the medicare short stay indicator z0100c as follows.
As a continuation from part 1 of our mds short stay policy post let s carry on with the 8 conditions required for the mds short stay policy.
9 difficulty in making self understood short term memory or decision making score on the cognitive performance scale 3 hallucinations delusions physical behavioral symptoms toward.
With the addition of the mds item o0420 distinct calendar days of therapy last october there is an increase in situations when a short stay assessment may be appropriate.
Day of stay to day.