RE: Re: Learning about SNF

[Guest guest]

The RUG level is not determined by the evaluating therapist. It is determined

by the number of minutes of therapy provided over a 7 day look-back period and

recorded on the MDS 2.0 assessment, which is completed by nursing. The highest

RUG score is Rehab Ultra High which indicates that more than 720 minutes of

therapy was provided during the 7-day look-back period. Hope this helps to

clarify.

Garry Woessner, MA, MBA, CAS

Benedictine Health System

Cambridge, MN

From: PTManager [mailto:PTManager ] On Behalf Of

Egbert

Sent: Tuesday, May 11, 2010 9:55 PM

To: PTManager

Subject: Re: Re: Learning about SNF

Jon,

The patient's RUG level is determined at the time of the eval by the evaling

therapist. It's based on the patient's dx, activity tolerance and whether they

have 2 or 3 disciplines. Most of the patient's we get at our facility are NOT

the sickest of the sick. They are total joints, CVA's, head injuries or general

deconditioning. Most of the folks that come in who's d/c plan is to go home are

usually put at the highest RUG level. Most of these folks are able to tolerate

140 minutes of therapy (that's the total daily minutes between either 2 or 3

disciplines). Others that cannot tolerate as much are put at a lower level.

Those RUG levels are watched closely and maintained at the level they were set.

I have a staff of eight that have been with the facility since it was bought,

which was three years ago. We all respect each other and have a close, happy

group. They all know RUG levels and we all work as a very cohesive

team. We have a very rehab oriented program. It's not your typical nursing

home rehab. We have three staff that are Fall Proof certified instructors, we

have a lymphedema program, I have an OT that does the Cognitive program,

we have a low vision program, we do cooking, exercise and gardening groups per

medicare guidelines and I do wound care as a certifed wound care specialist.

Egbert DOR

Draper, UT

From: jonmarkpleasant <jsppleasant@...

<mailto:jsppleasant%40verizon.net> >

Subject: Re: Learning about SNF

To: PTManager <mailto:PTManager%40yahoogroups.com>

Date: Tuesday, May 11, 2010, 11:54 AM

,

I work in an outpatient clinic so I'm unfamiliar with a SNU's inner workings. My

questions are simply out of curiosity.

1. When is a patient's RUG level determined? Is it determined after the first PT

encounter?

2. Who determines a patient's RUG level(Treating PT, PT director, case

management, other)?

Thank you in advance.

Jon Mark Pleasant, PT

Methodist Medical Center

>

>

> From: mapt2012 <mapt2012@.. .>

> Subject: Learning about SNF

> To: PTManager@yahoogrou ps.com

> Date: Tuesday, May 11, 2010, 12:08 AM

>

>

> Â

>

>

>

> I am interested in learning as much about providing PT in a SNF facility as an

independent contractor but I have only had experience with Medicare B in an

outpatient setting. Does anyone have resources (books, seminars, etc) to learn

about this area of practice. I need it to cover the very basics. Thanks

>

>

>

>

>

>

>

>

>

>

>

>