Rug Iii To Rug Iv Crosswalk

Contents include 1 a dos grouper program that will update rug iii classifications in an mds 2 0 submission file in standard cms format.

Rug iii to rug iv crosswalk. Domain adl score end splits or special requirements rug iv group cmi cms set f01 extensive services at least one of the following tracheostomy care while a resident o0100e2. 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. Mds rug iii codes ultra high rehabilitation plus extensive services rehabilitation rx 720 minutes week minimum and at least 1 rehabilitation discipline 5 days week and a second rehabilitation discipline 3 days week and iv feeding in last 7 days or iv medications suctioning tracheostomy care. Rehabilitation adls 4 18 adl score rug iii criteria 1 17 18 rad 150 minutes or more total of therapy o0400a b c 14 16 rac at least 5 days of any combination 10 13 rab.

This crosswalk or conversion dll takes an mds 3 0 record as input and outputs a new record in mds 2 0 format. Rugs iii to rugs iv 57 crosswalk. At richter healthcare consultants our job is to stay on top of regulatory changes and help ensure facilities like yours reduce the risk for negative outcomes. Iv medication o0100h 1 or 2 evaluate for special care clinically complex impaired cognition for the total extensive services count.

2 a manual calculator module in the grouper program that allows the user to enter the rug iii mds items on screen and then view the resulting. In addition to the rug iv grouper dll a second dll was created that could be used by those who need to calculate rug iii on mds 3 0 data. The worksheet takes the grouper logic. There were two changes to the rug iii classification logic with version 5 12 from version 5 11.

November 9 2010 mds 3 0 rug iv 26 snf part a 1 hybrid rug iii and rug iv update o section 10325 of the affordable care act mandates. Rug iii can be calculated from mds 2 0 and mds 3 0 rug iv can t be calculated from mds 2 0 o require mds 3 0 to calculate rug iv assessments will be rejected o mds 2 0 ard 10 01 10 or later o mds 3 0 ard 09 30 10 or earlier. Delay of rug iv by one year implementation of the allocation of concurrent therapy and lookback period components of rug iv effective 10 1 10 the system implementing these policies is. Staying up to date with state regulatory changes and deadlines is a headache you don t have time for.

These changes are 1 mds item j5c end stage disease has been dropped as a qualifier for the clinically complex groups and 2 the adl break point between the 34 group model raa and rab rehabilitation groups has been modified to an upper value. Mds 3 0 rug iv decision tree 48 grouper select the rug iv group with the highest case mix index cmi for which the resident meets the required conditions.