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Re: RUGS changes

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The proposed Final Rule has been released and includes many changes including

group therapy.  The proposed rules state that a group MUST consist of 4 patients

and the minutes would be divided by 4. 

I would encourage you to review the Proposed Final Rule in the Federal Register

to get all the info regarding groups as well as info about a significant

reduction in RUG rates for parity adjustments, a reduction of available ARD

dates, and an additional Change of Therapy (COT) assessment.   

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> Has anyone heard anything about CMS changing the playing field for calculating

minutes for RUG scores in a SNF. I attended a meeting the other day and and MDS

nurse informed the group that CMS is considering treating group therapy minutes

the same way they do concurrent therapy minutes currently. Therefore if you

billed for group therapy for three patients, instead of all three patients

recieving credit for the actual time they participated in the group, they would

only recieve credit for 1/2 the minutes toward their RUG score. This is

supposed to start in October of this year according to the MDS nurse. Can

anyone confirm or reply if you have heard something similar.

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> W. Hotz PT

> Sprenger Health Care System

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