Rehabilitation Rug Categories

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 is associated with relative weighting factors rug assignments can be made on a hierarchical or an index maximization basis.

Rehabilitation rug categories. To obtain a non therapy rug with this worksheet skip category i rehabilitation plus extensive services and category ii rehabilitation and start with category iii extensive services. This includes the original 44 rug iii groups plus 14 additional groups including mds assessments that would qualify for one of the original 14 rehabilitation groups. This system categorizes residents into a payment group based upon their care and resource needs. Extensive services g0110 a b h i adl score of 2 or more.

Restorative nursing 6 days week 2 services see reduced physical function for restorative nursing services or z0100c medicare short stay indicator 1. In other words within the 7 day observation period of the mds or cot review therapists must deliver services to the patient on at least 5 of the 7 days in the observation period from. 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. In addition the rug iv grouper will only calculate a rehabilitation medium rug category when 150 minutes of therapy is provided across 5 distinct calendar days.

Rehabilitation rx 45 minutes week minimum 3 days any combination of 3 rehabilitation disciplines. Category adl index end splits rug codes 16 18 ruc 9 15 rub rehabilitation ultra high rx 720 mins. 4 8 rua 16 18 rvc 9 15 rvb. 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.

Having a minimum activity of daily living adl dependency score of 2 or more. Rug 58 grouper this statistical analysis software sas program is used to generate the 58 groups that provide the base structure for the new rug 53 model. Both the standard medicare part a rug reported in item z0100a and the medicare part a non therapy rug in item z0150a are recorded on the mds 3 0. Rehabilitation category 14 rug iii groups extensive care 3 rug iii groups.

Each of the 44 rug iii groups belong to one of seven categories. The rug iii methodology using the mds 2 0 assessment data and case mix index cmi values assigns each continuing care assessments to one of 44 resource utilization groups.