Rug Iii 53 Group Model

Rapid rug guide rug iii version 5 20 34 grouper effective for assessments with an ard on or after 10 1 2013 prepared by myers and stauffer lc dedicated to government health programs adl calculation.

Rug iii 53 group model.

The risk adjuster uses the 53 group rug iii model. The worksheet takes the grouper logic. Treatment with any stage iii or iv pressure ulcer foot infections or wounds with application of. Resource utilization group rug iii category.

Resource utilization group rug non adl end splits. And the average minutes by rug iii category from the cms staff time and resource intensity verification strive study. Special care special rehabilitation clinically complex care impaired cognition behaviour problems reduced physical functions extensive services. Rug iii version 5 20 53 grouper ultra high tx.

Rug iv categories and characteristics 1 major rug iv. The 53 group model consists of the 44 group model with 9 new groups added. Major rug categories of rugs rug 34 rug 44 rug 53 rehabilitation extensive services 9 1 rehabilitation services 14 1 2 extensive services 3 1 2 3 rehabilitation services 4 2 special care 3 3 3 4 clinically complex 6 4 4 5 impaired cognition 4 5 5 6 behavioral 4 6 6 7 reduced physical functions 10 7 7 8. Cp ms quadriplegia each must have an adl.

This package provides general information software and technical documentation for rug iii version 5 20. Refinement to the rug iii model. Resource utilization groups iii rug. Special care adl ssc ssb ssa 7 14 15 16 17 18.

Rug iii classification 34 group model special care category iii 7 effective for assessments dated on or aftet october 1 2013. This refinement adds a 53 group rug iii model to the existing 34 group and 44 group models. 6 10 4 5 4 5 16 18 16 18 11 15 11 15 9 10. The added groups identify high cost residents who receive both rehabilitation therapy services and extensive care services.

Resource utilization group iii rug iii iii 7 clinical categories. Pt group ot individual 75 78 80 52 75 ot concurrent ot group st individual st concurrent st group 2. 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. Rehabilitation extensive service qualifier extensive service qualifier.

To calculate the score of bed mobility g0110a transfer g0110b and toilet use g0110i use the following chart. We apply the risk adjuster to the payroll agency data reported by the nursing homes participating in the demonstration. One 5 days one 3 days. Special care 3 categories at least one of the following conditions must be present.

14 3 3 6 4 4 10.