Rug Classification System 2014

All in all the impact act of 2014 requires that the post acute care sector take on a unified payment system driven by cross setting measures by 2024.

Rug classification system 2014.

Cms s rai version 3 0 manual ch 3. 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. The aim of the rug refinement is to improve the ability of the existing rug iii classification system to explain non therapy ancillary nta costs. Mds items g october 2014 page g 8 g0110.

These changes are 1 mds item j5c end stage disease has been dropped as a qualifier for the clinically complex groups and 2 the adl break point between the 34 group model raa and rab rehabilitation groups has been modified to an upper value. Rug iv 66 group model calculation worksheet for snfs page 1 of 29 october 12 2010 the purpose of this rug iv version 1 00 calculation worksheet for the 66 group model is to provide a step by step walk through to manually determine the appropriate rug iv classification based on the data from an mds assessment. Brant fries 2003 using data from our 2001 analysis files and replicated and validated the research. Resource utilization groups rugs 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 is a patient classification system for skilled nursing patients used by the federal government to determine reimbursement levels. 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. The urban institute re examined prior efforts by abt associates 2000 and dr. There were two changes to the rug iii classification logic with version 5 12 from version 5 11.

Rug iii m3pi version 5 12b is located in the downloads section. The attached file contains the list of the newly added hipps codes. Classifications from rug. Rug iii version 5 12 grouper package files.

This instruction contains new hipps codes resulting from the conversion to the new rug iv coding system. The 3 digit classification code assigned to each rug group and newly. For detailed information concerning this update see the fy2010 snf pps rug iii classification case mix indices v1 pdf document in the download zip file for the update. This revised system is called the rug iv coding system.

Two mutually exclusive groups in the uas ny rug classification system but were collapsed so that they could be compared to the mds 3 0 rug of behavioral symptoms and cognitive performance. Contents include 1 a dos grouper program that will update rug iii classifications in an mds 2 0 submission file in standard cms format. The worksheet takes the grouper logic. The 5 digit hipps code includes two components.