Rugs Iv Cheat Sheet
7 medicare rate groups based on the level of care provided and is adjusted for geographic and federal register vol.
Rugs iv cheat sheet. 500 minutes or more total of therapy per week and at least 1 discipline for at least 5 days rug iii adl score rug iii class 16 18 rvc 9 15 rvb 4 8 rva. Mds 3 0 rug iv decision tree 48 grouper select the rug iv group with the highest case mix index cmi for which the resident meets the required conditions. Rapid rug guide rug iv 57 group classification 2 2016 category iv. 192 tuesday october 4 govinfo.
Very high intensity criteria in the last 7 days section p1b a b c. Special care low conditions or services special care low items adl score depressed rug iv class i4400 cerebral palsy with adl score 5 15 16 yes le2 i5200 multiple sclerosis with adl score 5 15 16 no le1. Logic version 1 03 and code version 1 03 0 july 18 2013. 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.
Ultra high criteria 720 minutes or more total of therapy per week. Oct 4 2016. 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. The worksheet takes the grouper logic.
The guide also includes the calculation to determine the resident s late loss adl score. Rug iv classification system 66 group with medicare case mix indices for 10 1 2010. Mds 3 0 rug iv 66 category table urban adls end splits rug cmi rate 042 aids 15 16 signs of depression le2 45 412 73 941 02 15 16 no signs le1 33 345 26 787 19 11 14 signs of depression ld2 42 396 66 904 38 11 14 no signs ld1 27 332 42 757 92. Rug iv cheat sheet.
Rapid rug iv guide 48 group classification the rapid rug iv guide is intended to be an at a glance reference providing the mds 3 0 items and criteria for each rug category. Category vi clinically complex pneumonia hemiplegia and adl score 5 surgical wounds or open lesions with treatment burns chemotherapy while a resident category v special care low. Having a minimum activity of daily living adl dependency score of 2 or more. Minimum data set supportive documentation guidelines rug iii version 5 12 34 grouper june 1 2012.
Category i extensive services while a resident adl 2 16 adl 0rug iv. Adverse events in skilled nursing facilities oig hhs gov. Rug iii version 5 2 calculator worksheet 34 group model.