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The american society of consultant pharmacists advises that a patient s rug level is calculated based on information found on the patient s minimum data set also know as an mds.

Define rug level.

The rug levels are. Mds 3 0 rug iv decision tree 48 grouper minnesota case mix system. Rug scores consist primarily of the levels of occupational physical and speech therapy a patient receives along with the intensity of nursing services the patient requires. Mds 3 rug 53 groups.

The rug level then determines the per diem rate that the facility receives. This includes the original 44 rug iii groups plus 14 additional groups including mds assessments that would qualify for one of the original 14 rehabilitation groups. Define rug rug levels. Means resource utilization group any of 44 classifications into which nursing home patients may be assigned according to their activity levels underlying illnesses the complexity of care they need their cognitive status and other variables affecting their care.

The resource utilization group score rug score appears near the very end of the mds 3 0 in section z. Mds 3 rug iii version 5 12 44 grouper. 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. Slps occupational therapists and physical therapists recommend the frequency and length of sessions that they anticipate a patient will need.

This is part of the mds information about the patient s needs that is combined to determine the patient s rugs resource utilization groups level. This system categorizes residents into a payment group based upon their care and resource needs. At least 720 minutes. Rug 58 grouper this statistical analysis software sas program is used to generate the 58 groups that provide the base structure for the new rug 53 model.

Minimum data set supportive documentation guidelines rug iii version 5 12 34 grouper june 1 2012. Rug iii version 5 2 calculator worksheet 34 group model. 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. 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.

Level of self performance the activity did not occur or family and or non facility staff provided care 100 of the time for that activity over the entire seven day look back period definition independent resident completed activity with no help or over sight every time during the seven day.
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