Cms oig and medpac have these issues with rug iv.
Rug iv pre admission worksheet.
This rug iii version 5 12 calculation worksheet is a step by step walk through to manually determine the appropriate rug iii classification based on the information from an mds 2 0 assessment.
Mds 3 0 section gg functional score and functional groups decreased from 43 to 25.
The attached checklist includes an array of hospital documentation evaluation and diagnostic materials to help facilitate the collection of the most essential information.
Therapy payments have been based primarily on the amount of therapy volume regardless of the resident s unique characteristics needs or goals.
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.
Rug iv categories and characteristics 1 major rug iv category rug iv score characteristics associated with major rug iv category.
Adl score worksheet bed mobility adl score transfer adl score toilet adl score eating adl score 2 or 3 0 or 12 or 32 or 3 1234.
Mds 3 rug 53 groups.
Aanac s easy to use coding tools quick tips and at a glance sheets are designed to help you work with your team to get on the same page collect the correct information and code most accurately to improve resident outcomes.
Admission gg0130a1 gg0130c1 gg0170b1 gg0170c1.
As opposed to rug iv in which a resident s classification into a single group determines the case mix indexes and per diem rates for all case mix adjusted components pdpm classifies residents into a separate.
Rug iv and pdpm rug iv began july 1998 and ends 11 59pm sept.
Rug iv classification system 66.
Minimum data set supportive documentation guidelines rug iii version 5 12 34 grouper june 1 2012.
Rug iv vs pdpm under the rug iv model both patients would be classified into the same payment group because they received the same number of therapy minutes and.
Does all of the new government regulation seem mind boggling.
Pdpm calculation worksheet for snfs 1.
Mds 3 rug iii version 5 12 44 grouper.
The worksheet takes the grouper logic.
We have carefully reviewed the worksheet to insure that it represents the standard.
Required under the current rug iv system except for inpatient surgical procedural information during the prior inpatient hospital stay.
6 nta groups and 25 nursing groups.
Mds 3 0 rug iv decision tree 48 grouper minnesota case mix system.
Rug iii version 5 2 calculator worksheet 34 group model.