Rug Iii 53 Group Model

Special care adl ssc ssb ssa 7 14 15 16 17 18.

Rug iii 53 group model.

Rug iii version 5 20 53 grouper ultra high tx. Refinement to the rug iii model. One 5 days one 3 days. Resource utilization group iii rug iii iii 7 clinical categories.

Rug iv categories and characteristics 1 major rug iv. 6 10 4 5 4 5 16 18 16 18 11 15 11 15 9 10. Resource utilization group rug non adl end splits. This package provides general information software and technical documentation for rug iii version 5 20.

The rug iii version 5 20 grouper package includes the 53 group rug iii model that will be used for billing medicare part a snf pps days of service starting january 1 2006. 14 3 3 6 4 4 10. Resource utilization groups iii rug. The risk adjuster uses the 53 group rug iii model.

Major rug categories of rugs rug 34 rug 44 rug 53 rehabilitation extensive services 9 1 rehabilitation services 14 1 2 extensive services 3 1 2 3 rehabilitation services 4 2 special care 3 3 3 4 clinically complex 6 4 4 5 impaired cognition 4 5 5 6 behavioral 4 6 6 7 reduced physical functions 10 7 7 8. We apply the risk adjuster to the payroll agency data reported by the nursing homes participating in the demonstration. Special care 3 categories at least one of the following conditions must be present. A week minimum and 2 3 disciplines.

The worksheet takes the grouper logic. Pt group ot individual 75 78 80 52 75 ot concurrent ot group st individual st concurrent st group 2. The 53 group model consists of the 44 group model with 9 new groups added. Special care special rehabilitation clinically complex care impaired cognition behaviour problems reduced physical functions extensive services.

This refinement adds a 53 group rug iii model to the existing 34 group and 44 group models. Treatment with any stage iii or iv pressure ulcer foot infections or wounds with application of. Rug iv 66 group model calculation worksheet for snfs page 1 of 29 october 12 2010 the purpose of this rug iv version 1 00 calculation worksheet for the 66 group model is to provide a step by step walk through to manually determine the appropriate rug iv classification based on the data from an mds assessment. Resource utilization group rug iii category.

And the average minutes by rug iii category from the cms staff time and resource intensity verification strive study. Rehabilitation extensive service qualifier extensive service qualifier. The web text explanation is located in the downloads section. Cp ms quadriplegia each must have an adl.

The added groups identify high cost residents who receive both rehabilitation therapy services and extensive care services.