Relative risk weights for nursing care are based on state medicaid data from an early demonstration sponsored by hcfa now cms rug assignments weights are applied at the individual level but the average relative risk of a facility s residents is typically used to adjust the nursing components of state medicaid payment systems one exception.
Rug score nursing home.
Of the level of care presumption.
Having a minimum activity of daily living adl dependency score of 2 or more.
This distribution was used to calculate the nursing case mix indices.
They require nursing homes to identify and act on risk factors to prevent functional decline in residents and to plan care that would delay any decline in residents function.
With rug iii it was the upper 35 rug scores and under rug iv it will be the upper 52 rug scores.
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.
The rug score shows the type and quantity of care required for each individual resident.
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.
The rug score indicates the level of the patient s care requirements.
4 8 rua 16 18 rvc 9 15 rvb rehabilitation very high.
A week minimum at least 2 disciplines 1 discipline 5 days 2nd at least 3 days.
The higher the rug score the higher the medicare reimbursement to the nursing home.
However the use of section t to predict the amount of therapy that is anticipated to be provided during the initial period on the five day.
Rug 44 rug 53 distribution chart based on cy 2006 data is available for download from the downloads section below.
The mds data are prepared by an mds coordinator who is a nurse.
The resource utilization group score rug score appears near the very end of the mds 3 0 in section z.
The rai mds was implemented in all u s.
Updated 2001 distribution of days for the rug 44 and rug 53 models.
Texas medicaid adjusts the rug 34 relative risk weights to reflect local practice to establish person level payments.
The most important factors in the rug score are the levels of physical occupational and speech rehabilitation therapy the patient receives and the complexity of the nursing care the patient requires.
Private sector nursing homes in 1990 and is updated periodically.
In calculating the distribution 861 unclassifiable records bc1 were deleted from the file.
Mds 3 0 rug iv 66 category table urban adls end splits rug cmi rate 042 aids 2 5 2 or more restorative nursing on 6 days wk bb2 11 253 71 578 46 2 5 none or fewer restorative nursing than required bb1 10 242 47 552 83 0 1 2 or more restorative nursing on 6 days wk ba2 4 210 34 479 58 0 1.
Rug resource utilization groups is a patient classification system for nursing home patients used by the federal government to determine reimbursement levels for skilled nursing home facilities.
