Rug Scores For Nursing Homes

Cms to comply with certain nursing home related reforms required by the omnibus budget reconciliation act of 1987 public law pub.

Rug scores for nursing homes.

Mds 3 rug 53 groups. 4 5. For instance if a loved one is highly dehydrated and rarely leaves her bed she should not have a rug score at an ultra intensity level because. 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.

100 203 title iv subtitle c 101 stat 1330 1987 obra 87. Nursing reh l itation activties 2 at least 6 days a week passive or active rom amputation care splint care training in dressing or grooming eating or. Having a minimum activity of daily living adl dependency score of 2 or more. Rug iii version 5 2 calculator worksheet 34 group model.

With rug iii it was the upper 35 rug scores and under rug iv it will be the upper 52 rug scores. Rug 44 rug 53 distribution chart based on cy 2006 data is available for download from the downloads section below. However the use of section. Rug iii v5 12 descriptors for sb mds 2 0 category adl index end splits rug codes 16 18 ruc.

This system categorizes residents into a payment group based upon their care and resource needs. 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. Texas medicaid adjusts the rug 34 relative risk weights to reflect local practice to establish person level payments. Mds 3 rug iii version 5 12 44 grouper.

Understanding mds 3 0 and rug iv reimbursement for nursing homes. The rug score really matters. Score on mds 2 0 cognitive performance scale 3. In calculating the distribution 861 unclassifiable records bc1 were deleted from the file.

Health care consulting inc. Minimum data set supportive documentation guidelines rug iii version 5 12 34 grouper june 1 2012. This distribution was used to calculate the nursing case mix indices. Under the current version of the rug payment scale for urban snf s the daily payments per medicare patient range from 761 39 to 190 73.

These requirements apply to all nursing homes in the united states u s that are certified by cms. Rug iv classification system 66 group with medicare case mix indices for 10 1 2010. And in addition if the patient needs complex nursing care such as respiratory care or communicable disease isolation that too increases the rug score significantly.