Rug Iii Definition

This group includes very heavy care patients i e their functional level is on the whole very low.

Rug iii definition. This document is intended to provide guidance to health system decision makers and decision support staff to use the resource utilization groups version iii plus rug iii plus. Extensive services se3 se2 se1 0 1 2 3 4 5 clinical groups and services. Mental health canadian interrai members developed a per diem case mix model scipp for describing resource use in adult inpatient psychiatric settings including acute long stay forensic and geriatric psychiatry units. Brant fries 2003 using data from our 2001 analysis files and replicated and validated the research.

The extensive services category shows substantial increases in payment from rug iii to rug iv. The urban institute re examined prior efforts by abt associates 2000 and dr. Payments for the clinically complex category will also increase substantially. Treatment with any stage iii or iv pressure ulcer foot infections or wounds with application of dressing radiation therapy while a resident or dialysis while a resident.

Rug iii classification model version 5 20 34 group extensive services category i effective for assessments with an ard on or after 10 1 2013 1 effective for assessments dated on or aftet october 1 2013. How rug iv might affect your skilled nursing home facility. The worksheet takes the computer programming and puts it into words. Differences between rug iii and rug iv.

The current rug iii hc algorithm explains 33 7 of variance in resource use and has been validated in a major canadian study. Rug iv categories and characteristics 1 major rug iv. Coma quadriplegia multiple sclerosis stage 4 decubiti nasal gastric feeding parenteral feeding suctioning. Level of support definition.

Characteristics involved in placing a resident in this group are one or more of the following. 4 rug iii plus decision support guide. A federal government website managed by the centers for medicare medicaid services 7500 security boulevard baltimore md 21244. Resource utilization groups rugs 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.