Long-Term Care

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PPS Alert for Long-Term Care, October 1, 2010

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to PPS Alert for Long-Term Care.

The issue is that to receive payment for covered days in September, you must have a RUG-III grouper, and to receive payment for covered days in October, you must have a RUG-IV grouper. However, although RUG-III can be calculated from the MDS 2.0 and MDS 3.0, 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 both September and October 2010. 

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to PPS Alert for Long-Term Care.

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