Rug Iii 53 Group Model

The risk adjuster uses the 53 group rug iii model.

Rug iii 53 group model.

We apply the risk adjuster to the payroll agency data reported by the nursing homes participating in the demonstration. Resource utilization group rug non adl end splits. 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. One 5 days one 3 days.

Special care 3 categories at least one of the following conditions must be present. 6 10 4 5 4 5 16 18 16 18 11 15 11 15 9 10. Refinement to the rug iii model. 14 3 3 6 4 4 10.

Special care special rehabilitation clinically complex care impaired cognition behaviour problems reduced physical functions extensive services. The added groups identify high cost residents who receive both rehabilitation therapy services and extensive care services. 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. Treatment with any stage iii or iv pressure ulcer foot infections or wounds with application of.

Special care adl ssc ssb ssa 7 14 15 16 17 18. This refinement adds a 53 group rug iii model to the existing 34 group and 44 group models. A week minimum and 2 3 disciplines. Rug iii classification 34 group model special care category iii 7 effective for assessments dated on or aftet october 1 2013.

Rehabilitation extensive service qualifier extensive service qualifier. Resource utilization group iii rug iii iii 7 clinical categories. This package provides general information software and technical documentation for rug iii version 5 20. The 53 group model consists of the 44 group model with 9 new groups added.

Pt group ot individual 75 78 80 52 75 ot concurrent ot group st individual st concurrent st group 2. And the average minutes by rug iii category from the cms staff time and resource intensity verification strive study. Resource utilization group rug iii category. Rug iv categories and characteristics 1 major rug iv.

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. The worksheet takes the grouper logic. Resource utilization groups iii rug. The web text explanation is located in the downloads section.

Cp ms quadriplegia each must have an adl.