Long-Term Care

CMS releases transition information during RUG-IV call

Contemporary Long-Term Care Weekly, August 26, 2010

During the RUG-IV National Provider Call on August 24, CMS provided listeners with important information regarding the transition from the MDS 2.0 and RUG-III to the MDS 3.0 and RUG-IV. To receive payment for covered days in September 2010, you must have a RUG-III group, and to receive payment for covered days in October 2010, you must have a RUG-IV group. RUG-III can be calculated from the MDS 2.0 and the MDS 3.0; however, RUG-IV can only be calculated from the MDS 3.0. This creates a problem for residents in a Medicare Part A stay whose RUG assignment from one SNF PPS assessment covers days in September and October of this year.

To read this brief in its entirety, which includes the four transition options outlined by CMS during the call, please visit MDSCentral.

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