Rug 53 Classification System

Report to congress on patient classification under medicare s prospective payment system for skilled nursing facilities 2006 dr.

Rug 53 classification system.

Mds reporting intensified with its use to facilitate rug based payment systems under medicare and medicaid. Rug iv classification system 66. Hierarchical and index maximizing while providers have been aware of the existence of these two systems in the past a better understanding of the differences between them is essential to being able to work with the rug 53 system. Determine all of the rug iv groups for which a resident qualifies not just the first group for which the resident qualifies.

Services or iv medication and based the resident classification system on these characteristics. Rug 44 rug 53 distribution chart based on cy 2006 data is available for download from the downloads section below. 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. Mds 3 0 rug iv decision tree 48 grouper minnesota case mix system.

In the current rug iv model snf facilities are required to use the minimum data set mds 3 0 assessment tool to assign residents to one of 66 resource utilization groups rugs also known as case mix groups. Rug iii m3pi version 5 12b is located in the downloads section. Mds 3 rug 53 groups. Minimum data set supportive documentation guidelines rug iii version 5 12 34 grouper june 1 2012.

Mds 3 rug iii version 5 12 44 grouper. Rug iii version 5 2 calculator worksheet 34 group model. Use the hierarchical classification worksheet in chapter 6 of the rai manual. 2 a manual calculator module in the grouper program that allows the user to enter the rug iii mds items on screen and then view the resulting.

Rug iii version 5 12 grouper package files. The reason is related to the two different classification systems that are used to organize the rugs.