Determine all of the rug iv groups for which a resident qualifies not just the first group for which the resident qualifies.
Definition of rug iv categories.
Only 1 04 of the residents can classify under extensive services.
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.
Rug iv is a patient classification system for skilled nursing patients used by the federal government to determine reimbursement levels.
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 hierarchical level.
This method is stemming from the snf pps fy2012 final rule and was previously rug iii.
Use the hierarchical classification worksheet in chapter 6 of the rai manual.
The urban institute re examined prior efforts by abt associates 2000 and dr.
Rug iv classification system 66 group with medicare case mix indices for 10 1 2010 instructions.
Iv medication and iv feeding are no longer qualifiers for extensive service.