Rug Level Medicare

Rug 44 rug 53 distribution chart based on cy 2006 data is available for download from the downloads section below.
Rug level medicare. Access the listings of resource utilization groups rugs for skilled nursing facilities snfs from the links below. Rug iv categories and characteristics 2 special care high he2 he1 hd2 hd1 hc2 hc1 hb2 hb1 residents satisfying the following two conditions. A federal government website managed by the centers for medicare medicaid services 7500 security boulevard baltimore md 21244. List of medicare rugs levels 2020.
Resource utilization groups rugs september 2 2009 anthony m. Page 1 of 1. Due to rounding a slight variance may exist between the spreadsheets below and actual medicare payments. 31 jul 2018 a list of commonly used acronyms as well as.
Resources report to congress on patient classification under medicare s prospective payment system for skilled nursing facilities 2006. Rug iv categories and characteristics 2 special care high he2 he1 hd2 hd1 hc2 hc1 hb2 hb1 residents satisfying the following two conditions. Evaluation time does not count as minutes toward rug level. The snf pps also includes an administrative presumption whereby a beneficiary who is correctly assigned one of the designated more intensive case mix classifiers on the initial 5 day medicare required assessment is automatically classified as meeting the snf level of care definition up to and including the assessment reference date ard for.
Rug iii v5 12 descriptors for sb mds 2 0 category adl index end splits rug codes 16 18 ruc 9 15 rub rehabilitation ultra high rx 720 mins. Effective october 1 2016 excel. Effective october 1 2015 excel. It is not acceptable to deliver unnecessary unskilled not medically necessary or inappropriate patient is ill unresponsive or refusing treatment services in order to reach a particular rug level or meet the weekly number of minutes.
Tucker phd maryland ltc pac workgroup. Effective october 1 2014 excel. Skilled nursing facility prospective payment system booklet cms.