Rug Iv Calculation Worksheet

23 calculation of total adl score 23 calculation of total rehabilitation therapy minutes 26.
Rug iv calculation worksheet. In the pdpm there are five case mix adjusted components. Rug iv categories and characteristics 1 major rug iv category rug iv score characteristics associated with major rug iv category. Adl score worksheet bed mobility adl score transfer adl score toilet adl score eating adl score 2 or 3 0 or 12 or 32 or 3 1234. We have carefully reviewed the worksheet to insure that it represents the standard.
Enter the adl score for each item. This rug iii version 5 12 calculation worksheet is a step by step walk through to manually determine the appropriate rug iii classification based on the information from an mds 2 0 assessment. Rapid rug guide rug iv 48 group classification. Pdpm calculation worksheet for snfs 1.
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. In other words each patient is classified into a pt group an ot group. Rapid rug iv guide 48 group classification the rapid rug iv guide is intended to be an at a glance reference providing the mds 3 0 items and criteria for each rug category. The following worksheet is a step by step walk through to manually determine the appropriate classification based on the information from an mds 3 0 assessment.
The worksheet takes the computer programming and puts it into words. The guide also includes the calculation to determine the resident s late loss adl score. Rug iii version 5 2 calculator worksheet 34 group model. Rug iv classification options 16 resident functionality as measured by activities of daily living adls 17 additional problems or services used in rug iv 18 rug iv 66 group model calculation worksheet for snfs.
The fy 2019 rug iv rate table at the end will allow you to compare relative differences between the resident s pdpm per diem rates identified in the ahca pdpm resident classification worksheet with the federal rug iv rate. To calculate the adl score use the following chart for bed mobility g0110a transfer g0110b and toilet use g0110i. Category i extensive services while a resident adl 2 16 adl 0rug iv. Logic version 1 03 and code version 1 03 0 july 18 2013.
The adl score is a component of the calculation for placement in all rug iv groups. The adl score is based upon the four late loss adls bed mobility transfer toilet use and. The worksheet takes the grouper logic. Minimum data set supportive documentation guidelines rug iii version 5 12 34 grouper june 1 2012.
Pt ot slp nta and nursing.