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The resident is a rehabilitation patient that received 175 muintues of therapy. These minutes were received when the residentwhat is the RUG-IV rate & Reimbursement rate? thank you !

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Answer #1

#. In this case the RUG - IV rate is Rehab Medium (RM).

Rehab Medium means :-

150 minutes

5 calendar days of treatment from individual or combined disciplines (PT/OT/SLP)

#. Reimbursement rate is Prospective payment system .

- Rate codes that represent specific sets of patient characteristics or case-mix groups on which payment determinations are made under several prospective payment systems. These payment systems use clinical data s the basic input to determine which case-mix group applies to a particular patient. These codes are used for Inpatient Rehabilitation Facilities (IRF), Home Health Agencies (HH) and Skilled Nursing Facilities (SNF).

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