Rug Classification System 2014

All in all the impact act of 2014 requires that the post acute care sector take on a unified payment system driven by cross setting measures by 2024.

Rug classification system 2014.

The worksheet takes the grouper logic. This revised system is called the rug iv coding system. Mds items g october 2014 page g 8 g0110. Cms s rai version 3 0 manual ch 3.

Rug iv is a patient classification system for skilled nursing patients used by the federal government to determine reimbursement levels. 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. The attached file contains the list of the newly added hipps codes. Brant fries 2003 using data from our 2001 analysis files and replicated and validated the research.

Rug iii m3pi version 5 12b is located in the downloads section. 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. Contents include 1 a dos grouper program that will update rug iii classifications in an mds 2 0 submission file in standard cms format. For detailed information concerning this update see the fy2010 snf pps rug iii classification case mix indices v1 pdf document in the download zip file for the update.

The 5 digit hipps code includes two components. A unified payment system. This instruction contains new hipps codes resulting from the conversion to the new rug iv coding system. January 1 2014 and june 30 2014.

The 3 digit classification code assigned to each rug group and newly. 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. The urban institute re examined prior efforts by abt associates 2000 and dr. There were two changes to the rug iii classification logic with version 5 12 from version 5 11.

These changes are 1 mds item j5c end stage disease has been dropped as a qualifier for the clinically complex groups and 2 the adl break point between the 34 group model raa and rab rehabilitation groups has been modified to an upper value. Rug iii version 5 12 grouper package files. Classifications from rug. The rug iii version 5 20 grouper package includes the 53 group rug iii model that will be used for billing medicare part a snf pps days of service starting january 1 2006.