Rug Classification System

Revisions include one logic change in each worksheet and several wording clarifications in each worksheet.

Rug classification system.

Use the hierarchical classification worksheet in chapter 6 of the rai manual. Version 5 12 classification worksheets dated 8 16 00 the rug iii classification worksheets located in the downloads section are revised versions dated 8 16 00. Rug iv categories and characteristics 1 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. Rug iv is a patient classification system for skilled nursing patients used by the federal government to determine reimbursement levels.

Rug iv classification system 66 group with medicare case mix indices for 10 1 2010. Logic version 1 03 and code version 1 03 0 july 18 2013. When you find the first of the 66 individual rug iv groups for which the resident qualifies assign that group as the rug iv classification. Minimum data set supportive documentation guidelines rug iii version 5 12 34 grouper june 1 2012.

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. If the resident qualifies in the extensive services group and a special care high group always choose the extensive services classification because it is higher in the hierarchy. Brant fries 2003 using data from our 2001 analysis files and replicated and validated the research. Rug iv classification system 66 group with medicare case mix indices for 10 1 2010 instructions.

Determine all of the rug iv groups for which a resident qualifies not just the first group for which the resident qualifies. There were two changes to the rug iii classification logic with version 5 12 from version 5 11. The urban institute re examined prior efforts by abt associates 2000 and dr. 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.

Payment is determined by categorizing patients into groups based on their care and resource needs. Rug iii version 5 2 calculator worksheet 34 group model. These revised worksheets replace earlier worksheets that were dated 12 11 98. 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.

This system primarily.