Rug Score Nursing Home

Relative risk weights for nursing care are based on state medicaid data from an early demonstration sponsored by hcfa now cms rug assignments weights are applied at the individual level but the average relative risk of a facility s residents is typically used to adjust the nursing components of state medicaid payment systems one exception.

Rug score nursing home.

With rug iii it was the upper 35 rug scores and under rug iv it will be the upper 52 rug scores. That are certified by cms. 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. The most important factors in the rug score are the levels of physical occupational and speech rehabilitation therapy the patient receives and the complexity of the nursing care the patient requires.

The rug score shows the type and quantity of care required for each individual resident. This distribution was used to calculate the nursing case mix indices. However the use of section t to predict the amount of therapy that is anticipated to be provided during the initial period on the five day. A week minimum at least 2 disciplines 1 discipline 5 days 2nd at least 3 days.

4 8 rua 16 18 rvc 9 15 rvb rehabilitation very high. The rai mds was implemented in all u s. This system categorizes residents into a payment group based upon their care and resource needs. The resource utilization group score rug score appears near the very end of the mds 3 0 in section z.

Updated 2001 distribution of days for the rug 44 and rug 53 models. Texas medicaid adjusts the rug 34 relative risk weights to reflect local practice to establish person level payments. 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. Private sector nursing homes in 1990 and is updated periodically.

Of the level of care presumption. Rug scores consist primarily of the levels of occupational physical and speech therapy a patient receives along with the intensity of nursing services the patient requires. Rug resource utilization groups is a patient classification system for nursing home patients used by the federal government to determine reimbursement levels for skilled nursing home facilities. The higher the rug score the higher the medicare reimbursement to the nursing home.

They require nursing homes to identify and act on risk factors to prevent functional decline in residents and to plan care that would delay any decline in residents function. The rug score indicates the level of the patient s care requirements. Having a minimum activity of daily living adl dependency score of 2 or more. Rug 44 rug 53 distribution chart based on cy 2006 data is available for download from the downloads section below.