Rug Iii 53 Group Model

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

Rug iii 53 group 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. The worksheet takes the grouper logic. Special care adl ssc ssb ssa 7 14 15 16 17 18. Pt group ot individual 75 78 80 52 75 ot concurrent ot group st individual st concurrent st group 2.

Rehabilitation extensive service qualifier extensive service qualifier. Rug iii classification 34 group model special care category iii 7 effective for assessments dated on or aftet october 1 2013. 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. The web text explanation is located in the downloads section.

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. This refinement adds a 53 group rug iii model to the existing 34 group and 44 group models. Special care 3 categories at least one of the following conditions must be present. Cp ms quadriplegia each must have an adl.

The 53 group model consists of the 44 group model with 9 new groups added. A week minimum and 2 3 disciplines. Resource utilization group rug non adl end splits. Treatment with any stage iii or iv pressure ulcer foot infections or wounds with application of.

And the average minutes by rug iii category from the cms staff time and resource intensity verification strive study. Resource utilization groups iii rug. Refinement to the rug iii model. Special care special rehabilitation clinically complex care impaired cognition behaviour problems reduced physical functions extensive services.

Rug iv categories and characteristics 1 major rug iv. Resource utilization group iii rug iii iii 7 clinical categories. 14 3 3 6 4 4 10. The risk adjuster uses the 53 group rug iii model.

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. This package provides general information software and technical documentation for rug iii version 5 20. We apply the risk adjuster to the payroll agency data reported by the nursing homes participating in the demonstration. 6 10 4 5 4 5 16 18 16 18 11 15 11 15 9 10.

One 5 days one 3 days.