Mds Rug Categories

Mds 3 rug 53 groups.

Mds rug categories. Major changes in mds 3 0 and rug iv3 among the most significant changes in the rug iv reimbursement system is within the rehabilitation categories. Rugs are mutually exclusive categories that reflect levels of resource need in long term care settings primarily to facilitate medicare and medicaid payment they are assigned to individuals based on data elements derived from the ltc minimum data set mds there is a standard order or hierarchy and each rug. Rug iv categories and characteristics 1 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. Mds 3 rug iii version 5 12 44 grouper.

This includes the original 44 rug iii groups plus 14 additional groups including mds assessments that would qualify for one of the original 14 rehabilitation groups. Based upon the item subset code isc submitted in this record this item is required. Rug iv categories and characteristics 1 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. Each of the 44 rug iii groups belong to one of seven categories.

Individual concurrent and group. Minimum data set supportive documentation guidelines rug iii version 5 12 34 grouper june 1 2012. The rug iii methodology using the mds 2 0 assessment data and case mix index cmi values assigns each continuing care assessments to one of 44 resource utilization groups. Mds 3 0 rug iv decision tree 48 grouper minnesota case mix system.

Rug iii version 5 2 calculator worksheet 34 group model. Rug iv coding requires the therapist to specifically account for the time captured within the look back period utilizing the three recognized formats. The submitted record is a duplicate of a previously submitted record. Rug 58 grouper this statistical analysis software sas program is used to generate the 58 groups that provide the base structure for the new rug 53 model.

November 9 2010 mds 3 0 rug iv 13 most common fatal errors 1 1030 missing item. This web based training on the minimum data set mds resource utilization group rug is intended for long term care. The texas health and human services commission s office of inspector general provides training to medicaid providers contractors their employees and staff from other state agencies that are involved in the administration of health and human services.