Rug Iii 53 Group Model

Pt group ot individual 75 78 80 52 75 ot concurrent ot group st individual st concurrent st group 2.

Rug iii 53 group model.

Rug iv categories and characteristics 1 major rug iv. Resource utilization group rug iii category. One 5 days one 3 days. Refinement to the rug iii 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. 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. We apply the risk adjuster to the payroll agency data reported by the nursing homes participating in the demonstration. The added groups identify high cost residents who receive both rehabilitation therapy services and extensive care services.

Special care adl ssc ssb ssa 7 14 15 16 17 18. 6 10 4 5 4 5 16 18 16 18 11 15 11 15 9 10. Rug iii version 5 20 53 grouper ultra high tx. Treatment with any stage iii or iv pressure ulcer foot infections or wounds with application of.

Cp ms quadriplegia each must have an adl. The worksheet takes the grouper logic. The 53 group model consists of the 44 group model with 9 new groups added. Rehabilitation extensive service qualifier extensive service qualifier.

And the average minutes by rug iii category from the cms staff time and resource intensity verification strive study. This refinement adds a 53 group rug iii model to the existing 34 group and 44 group models. Rug iii classification 34 group model special care category iii 7 effective for assessments dated on or aftet october 1 2013. Special care 3 categories at least one of the following conditions must be present.

A week minimum and 2 3 disciplines. 14 3 3 6 4 4 10. The web text explanation is located in the downloads section. To calculate the score of bed mobility g0110a transfer g0110b and toilet use g0110i use the following chart.

The risk adjuster uses the 53 group rug iii model. Resource utilization groups iii rug. 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. Special care special rehabilitation clinically complex care impaired cognition behaviour problems reduced physical functions extensive services.

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.