Here is a simple guide that discusses the basics refinements of new rug iv changes and how they could affect your skilled nursing home facility.
What does rug iv stand for.
You can use it to view your facility s rates.
Final report this is the final report from the urban institute march 2007 that describes data sources and methodological approaches used in the research of the rug.
Rug resource utilization groups is a patient classification system for nursing home patients used by the federal government to determine reimbursement levels for skilled nursing home facilities.
Resource utilization groups rugs rugs are mutually exclusive categories that reflect levels of resource need in long term care settings primarily to facilitate medicare and medicaid payment they are assigned to individuals based on data elements derived from the ltc minimum data set mds there is a standard order or hierarchy and each rug.
The assigned classification is the first group for which the resident qualifies.
What are resource utilization groups rug iv.
In other words start with the rehabilitation plus extensive services groups at the top of the rug iv model.
Then go down through the groups in hierarchical order.
The download section below also contains tables showing the updated rug 53 unadjusted case mix indices and the updated 2001 distribution of days for the rug 44 and rug 53 models.
Rug iv is a patient classification system for skilled nursing patients used by the federal government to determine reimbursement levels.
Having a minimum activity of daily living adl dependency score of 2 or more.
Many of the changes incorporated into rug iv are evident in the updated mds 3 0 draft item set which cms released may 7.
On july 31 2018 the fiscal year.
8 16 2018 the 2020 snf pdpm rate calculator is now available.
2019 snf medicare rug iv pps rate calculator now available.
Included in the rule is a proposal to implement a new case mix classification model known as resource utilization group version four rug iv in tandem with the mds 3 0 october 1 2010 which marks the beginning of fy 2011.
Major rug iv category rug iv score characteristics associated with major rug iv category rehabilitation plus extensive services rux rul rvx rvl rhx rhl rmx rml rlx residents satisfying all of the following three conditions.