Rug Iii 53 Group Model

Refinement to the rug iii model.

Rug iii 53 group model.

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 iii rug iii iii 7 clinical categories. To calculate the score of bed mobility g0110a transfer g0110b and toilet use g0110i use the following chart.

Treatment with any stage iii or iv pressure ulcer foot infections or wounds with application of. Resource utilization group rug non adl end splits. 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. The added groups identify high cost residents who receive both rehabilitation therapy services and extensive care services.

And the average minutes by rug iii category from the cms staff time and resource intensity verification strive study. Rug iii classification 34 group model special care category iii 7 effective for assessments dated on or aftet october 1 2013. One 5 days one 3 days. Resource utilization groups iii rug.

This package provides general information software and technical documentation for rug iii version 5 20. 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. The worksheet takes the grouper logic. Special care adl ssc ssb ssa 7 14 15 16 17 18.

A week minimum and 2 3 disciplines. Resource utilization group rug iii category. Rapid rug guide rug iii version 5 20 34 grouper effective for assessments with an ard on or after 10 1 2013 prepared by myers and stauffer lc dedicated to government health programs adl calculation. The risk adjuster uses the 53 group rug iii model.

This refinement adds a 53 group rug iii model to the existing 34 group and 44 group models. We apply the risk adjuster to the payroll agency data reported by the nursing homes participating in the demonstration. The 53 group model consists of the 44 group model with 9 new groups added. Rehabilitation extensive service qualifier extensive service qualifier.

Cp ms quadriplegia each must have an adl. Pt group ot individual 75 78 80 52 75 ot concurrent ot group st individual st concurrent st group 2. 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.

The web text explanation is located in the downloads section.