Rug Scores Explained

Mds 3 0 rug iv 66 category table urban adls end splits rug cmi rate 042 aids 15 16 signs of depression le2 45 412 73 941 02 15 16 no signs le1 33 345 26 787 19 11 14 signs of depression ld2 42 396 66 904 38 11 14 no signs ld1 27 332 42 757 92.

Rug scores explained. Brant fries 2003 using data from our 2001 analysis files and replicated and validated the research. Understanding mds 3 0 and rug iv reimbursement for nursing homes. 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. A week minimum at least 2 disciplines 1 discipline 5 days 2nd at least 3 days.

And gaining an understanding of the strategic needs of the new payment. Major rug iv category rug iv score characteristics associated with major rug iv category rehabilitation plus extensive services rux rul rvx rvl rhx rhl rmx rml rlx residents satisfying all of the following three conditions. A federal government website managed by the centers for medicare medicaid services 7500 security boulevard baltimore md 21244. Mds 3 rug iii version 5 12 44 grouper.

Payments are calculated through patient cmg scores meaning with pdpm therapy minutes are no longer the driving force for payments. The aim of the rug refinement is to improve the ability of the existing rug iii classification system to explain non therapy ancillary nta costs. Rug scores consist primarily of the levels of occupational physical and speech therapy a patient receives along with the intensity of nursing services. Resource utilization groups rugs rugs are mutually exclusive categories that reflect levels of resource need in long term care settings primarily to facilitate medicare and medicaid payment they are assigned to individuals based on data elements derived from the ltc minimum data set mds there is a standard order or hierarchy and each rug.

Mds 3 rug 53 groups. The resource utilization group score rug score appears near the very end of the mds 3 0 in section z. The rug score shows the type and quantity of care required for each individual resident. Rug iii version 5 2 calculator worksheet 34 group model.

4 8 rua 16 18 rvc 9 15 rvb rehabilitation very high. Minimum data set supportive documentation guidelines rug iii version 5 12 34 grouper june 1 2012. With rug iii it was the upper 35 rug scores and under rug iv it will be the upper 52 rug scores. The urban institute re examined prior efforts by abt associates 2000 and dr.

However the use. Having a minimum activity of daily living adl dependency score of 2 or more.