Profile
Detail
review of the 53 Medicare Resource Utilization Groups including the
specific level criteria in relation to the rate of reimbursement.
Recommended
Audience
Administrators, Nursing Management, Social Workers,
Therapists, Discharge Planners, Business Office Managers, Regional
Accountants, Admissions Coordinators and Marketing Management.
Objectives
I. The learner will be able to list the characteristics
of RUGs classifications.
II. The learner will be able to list the characteristics of RUGs end
splits.
III. The learner will be able to analyze the resource utilization
group in relation to the rate of reimbursement.
IV. The learner will be able to identify criteria for nine new RUG’s
categories.
Goals
This program will enable healthcare providers to provide quality healthcare
through an understanding of the Medicare Reimbursement system in a
skilled nursing facility. Case Management techniques reviewed in relation
to the RUG’s.
Content
- PPS/Inception
of RUGs
- Classifications
- Rehabilitation
/ Extensive Services
- Rehabilitation
- Extensive
Services
- Special
Care
- Clinically
Complex
- Impaired
Cognition
- Behavioral
- Physical
Function
- End Splits
- Signs
of Depression
- Activities
of Daily Living
- Nursing
Rehabilitation
- Pre-Admission
Worksheet
- Revenue per
RUGs Categories
- Beneficiary
Improvement and Protection Act
- Value of Accuracy
- Case Management
Concepts
- ARD Management
- Depression
- MD Visits/MD
Order Change
- ADL’s/Scoring
- RUG’s
in Relation to Skilled Criteria
- RUG’s
Classification
