The Rug Category Is Classification Of The Patient S What

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.

The rug category is classification of the patient s what. Category rug iv score characteristics associated with major rug iv category. Under pdpm a patient s cognitive status is assessed in exactly the same way as under rug iv i e via the bims or staff assessment. This method is stemming from the snf pps fy2012 final rule and was previously rug iii. Texas medicaid adjusts the rug 34 relative risk weights to reflect local practice to establish person level payments.

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. The non therapy classification uses all the rug iv payment items except the rehabilitation therapy items o0400a b c to determine a non therapy clinical rug. Three classifications were made by a computer a clinician and the patient s physician. A random sample of 233 headache sufferers of 15 000 subscribers to the program.

Scoring the patient s cognitive status for purposes of classification is based on the cognitive function. 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 iv is a patient classification system for skilled nursing patients used by the federal government to determine reimbursement levels. Patients were classified according to criteria established by the international headache society ihs.

Mds 3 0 rug iv 66 category table urban adls end splits rug cmi rate 042 aids 15 16 signs of depression le2 45 412 73 941 02 15 16 no signs le1 33 345 26 787 19 11 14 signs of depression ld2 42 396 66 904 38 11 14 no signs ld1 27 332 42 757 92. This system categorizes residents into a payment group based upon their care and resource needs.