Medicare Rug Levels Chart

Level of self performance the activity did not occur or family and or non facility staff provided care 100 of the time for that activity over the entire seven day look back period.
Medicare rug levels chart. 4 8 rua 16 18 rvc 9 15 rvb. Medicare rug levels chart trinity. Effective october 1 2016 excel. Effective october 1 2017 excel.
On july 31 2018 the fiscal year 2019 fy19 medicare skilled nursing facility snf final rule was released by the centers for medicare and medicaid services cms. Illinois medicaid eligibility chart 2018 2yamaha. In addition to updating the quality reporting program qrp and the snf value based purchasing vbp program and finalizing the patient driven payment model pdpm this final rule updates the 2019 payment rates for the snf. A federal government website managed by the centers for medicare medicaid services 7500 security boulevard baltimore md 21244.
Rug iv categories and characteristics 1 major rug iv category rug iv score characteristics associated with major rug iv category. 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. Skilled nursing facilities patient driven payment model technical report. Medicare rug levels chart trinity.
Rug 44 rug 53 distribution chart based on cy 2006 data is available for download from the downloads section below. 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. Report to congress on patient classification under medicare s prospective payment system for skilled nursing facilities 2006. Effective october 1 2014 excel.
Skilled nursing facility snf prospective payment system pps resource utilization group rug rates. 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. Effective october 1 2015 excel.