Rehab Rug Scores

Mds 3 rug iii version 5 12 44 grouper.

Rehab rug scores. If rehabilitation is the primary reason for a skilled level of care the facility has to ensure therapy is clinically indicated at least 5 days per week in order for the patient to meet medicare skilled coverage criteria. Mds 3 0 rug iv 66 category table urban adls end splits rug cmi rate 042 aids 15 16 signs of depression le2 45 412 73 941 02 15 16 no signs le1 33 345 26 787 19 11 14 signs of depression ld2 42 396 66 904 38 11 14 no signs ld1 27 332 42 757 92. Brant fries 2003 using data from our 2001 analysis files and replicated and validated the research. There is a concurrent expansion of the level of care presumption.

Mds 3 rug 53 groups. Minimum data set supportive documentation guidelines rug iii version 5 12 34 grouper june 1 2012. Patients who admit on september 27 to september 30 2019 will not have an opportunity to capture 5 distinct calendar days of therapy and will therefore obtain a non rehab rug score for the 5 day assessment. Required rug iv pps assessment on or before september 30 2019 that covers payment through september 30 2019.

The urban institute re examined prior efforts by abt associates 2000 and dr. Rug iv classification system 66 group with medicare case mix indices for 10 1 2010. This monetary shift is accomplished by adjusting therapy group payments. Having a minimum activity of daily living adl dependency score of 2 or more.

The new format has 23 different rehab plus extensive services and rehab groups representing 10 different levels of rehabilitation. However the use of section. With rug iii it was the upper 35 rug scores and under rug iv it will be the upper 52 rug scores. For example if physical therapy is.

Rug level 1 rehab 2 extensive service payor all medicare paid medicaid paid private other 7 physical function total of total 3 special care 4 clinically complex 5 impaired cognition 6 behavioral 13 0 10 20 30 40 50 60 70 80 90 medicare medicaid private other percent of residents. 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. The aim of the rug refinement is to improve the ability of the existing rug iii classification system to explain non therapy ancillary nta costs. Rug iii version 5 2 calculator worksheet 34 group model.

Rug iv essentially recalibrates the rug iii in order to put more money into complex patient cases that require intensive nursing services. 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.