Rug Iii 53 Group Model

14 3 3 6 4 4 10.

Rug iii 53 group model.

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. Pt group ot individual 75 78 80 52 75 ot concurrent ot group st individual st concurrent st group 2. Resource utilization group rug non adl end splits.

Rug iii classification 34 group model special care category iii 7 effective for assessments dated on or aftet october 1 2013. We apply the risk adjuster to the payroll agency data reported by the nursing homes participating in the demonstration. The 53 group model consists of the 44 group model with 9 new groups added. 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.

To calculate the score of bed mobility g0110a transfer g0110b and toilet use g0110i use the following chart. The web text explanation is located in the downloads section. Resource utilization groups iii rug. Special care special rehabilitation clinically complex care impaired cognition behaviour problems reduced physical functions extensive services.

6 10 4 5 4 5 16 18 16 18 11 15 11 15 9 10. The risk adjuster uses the 53 group rug iii model. This refinement adds a 53 group rug iii model to the existing 34 group and 44 group models. 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. A week minimum and 2 3 disciplines. The added groups identify high cost residents who receive both rehabilitation therapy services and extensive care services. One 5 days one 3 days.

Resource utilization group rug iii category. 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. Rug iii version 5 20 53 grouper ultra high tx. Rug iv categories and characteristics 1 major rug iv.

Special care 3 categories at least one of the following conditions must be present. 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. 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. Rehabilitation extensive service qualifier extensive service qualifier.

Cp ms quadriplegia each must have an adl.