What Does Rug Level Stand For

The rug factor in addition to the effect of the full cbsa wage index facilities are also dealing with a change in their revenue stream resulting from the implementation of the new resource utilization group rug system better known as rugs 53.

What does rug level stand for.

When prospective payment for part a stays in snfs was established the rug rate was based on observation of time actually spent by clinicians. 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. Evaluation time does not count as minutes toward rug level. Rug iii v5 12 descriptors for sb mds 2 0 category adl index end splits rug codes 16 18 ruc 9 15 rub rehabilitation ultra high rx 720 mins.

Rug any of 44 classifications into which nursing home patients may be assigned according to their activity levels underlying illnesses the complexity of care they need their cognitive status and other variables affecting their care. A week minimum at least 2 disciplines 1 discipline 5 days. 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 per deim rate is the amount of money provided to the facility to pay for the care of a patient covered under medicare part a.

Time spent on evaluation was included in the calculation of the rug rates. Therefore evaluation minutes are already accounted for and are not. The rug level then determines the per diem rate that the facility receives. Rug iv categories and characteristics 1 major rug iv category rug iv score characteristics associated with major rug iv category.