In the SNF final rule, CMS also calls to revise the reporting the rehab RUG classification process for short-stay residents, which are defined as residents who are discharged on day 8 of the SNF stay or earlier. This revised process will calculate the rehab RUG for short-stay resident by using items from the MDS 3.0, including the number of therapy minutes provided, date of admission, date therapy started, ADL level, and the ARD. According to the final rule, classification into rehab RUGs for short-stay residents "will be based on the average daily minutes of therapy provided," which are as follows:
Even though CMS does not believe that these changes will produce financial pressures and have taken steps to ensure they do not result in an increased workload, these components of the final rule will modify many facility processes related to therapy services and SNFs should ensure their staff are well trained and prepared to adapt.
To view the FY 2010 SNF final rule, visit the Resources page on MDSCentral.