Rug Level Cheat Sheet

For this reason the order of the rehabilitation and extensive services groups are reversed in the 34 group model with the extensive services groups first.
Rug level cheat sheet. 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. 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. The worksheet takes the grouper logic. Beginning with fy 2019 value based incentive payments will be made to snfs based on.
Rug iv cheat sheet. Medicare rug level cheat sheet. Level of nursing care needs while the rehabilitation groups have the next highest level of need. Rug iv systems colored easy to view chart.
There are two important issues that must be considered prior to using the rug iii worksheet. Ultra high criteria 720 minutes or more total of therapy per week. Logic version 1 03 and code version 1 03 0 july 18 2013. Rug iii version 5 2 calculator worksheet 34 group model.
Category vi clinically complex pneumonia hemiplegia and adl score 5 surgical wounds or open lesions with treatment burns chemotherapy while a resident category v special care low. Activities of daily living adl assistance cont adl self performance algorithm start here remember to review the instructions for the rule of 3 and the adl self. Determining consolidated billing for institutional services. Skilled nursing facility prospective payment system cms.
Rug iv classification system 66 group with medicare case mix indices for 10 1 2010. Mds items g october 2014 page g 8 g0110.