Rug Iv Case Mix Index

Index maximizing classification is used in medicare pps and most medicaid payment systems to select the rug iv group for payment.

Rug iv case mix index. 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. Mds nurses know how important it is to know their cmi. Who to call for case mix information. What assessments are used for case mix.

The unadjusted case mix weights and column descriptors are in the download section below. This replaces the prior case mix classification methodology referred to as the resource utilization groups version iv rug iv model. For example if a resident qualifies for both the rug iv case mix classification rac with an index of 1 36 and hc2 with an index of 1 57 the resident would be assigned to the hc2 classification because it has the highest index. Table of rug iv indices rug iv group index rug iv group index rug iv group index rug iv group index.

This table will allow mds nurses to easily identify the cmi score as well as the rank of a particular rug score within the rugs iv 57 hierarchy. Pdf fact sheet 1a. Rug iv case mix review fact sheet directory pdf updated 11 2013 fact sheet 1. Case mix questions answers pdf fact sheet 4.

Check your cmi score and rug score rank. There is a designated case mix index cmi that represents the relative resource utilization for each rug iv group. Requesting a reconsideration pdf. What is case mix.

In calculating the distribution 861 unclassifiable records bc1 were deleted from the file. Determine all of the rug iv groups for which a resident qualifies not just the first group for which the resident qualifies. Rug iv case mix index cmi values for the 66 rugs plus aaa effective 10 1 2013 group code snf pps rural snf pps urban rux 66 66 rul 65 65 rvx 64 63 rvl 62 61 rhx 61 62 rhl 57 57 rmx 58 58 rml 55 55 rlx 52 53 ruc 60 60 rub 59 59 rua 54 51 rvc 53 54 rvb 49 47 rva 48 46. Updated 2001 distribution of days for the rug 44 and rug 53 models.

Domain adl score end splits or special requirements rug iv group cmi cms set f01. In order to maximize their case mix they need to have the key information at their fingertips. For fy 2020 the net snf market basket update will be 2 4 percent. Rug iv classification system 66 group with medicare case mix indices for 10 1 2010 instructions.

Rug iv cheat sheet rug iv classification system 66 group with medicare case mix indices for 10 1 2010 rug iv grouper overview. For index maximizing first determine all of the rug iv groups for which the resident qualifies. Use the hierarchical classification worksheet in chapter 6 of the rai manual.