Rug group and the last two positions of the code contain a 2 digit assessment indi cator ai code.
Rug levels snf minutes.
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.
Iom publication 100 04 medicare claims processing manual chapter 6 section 30 3.
Access the listings of resource utilization groups rugs for skilled nursing facilities snfs from the links below.
Skilled nursing facility.
O for definitions during the last 7 days.
At least 720 minutes.
Increased rug submit adjustment within 120 days from through date listed on claim.
Snf pps and rug iv snf pps assessments and policies september 1 2010.
Effective october 1 2014 excel.
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.
Adjusting a snf rug.
The rug levels are.
A week minimum at least 2 disciplines 1 discipline 5 days 2nd at least 3 days.
Due to rounding a slight variance may exist between the spreadsheets below and actual medicare payments.
A federal government website managed by the centers for medicare medicaid services 7500 security boulevard baltimore md 21244.
Minutes o rlx 15 29 minutes o rmx 30 64 minutes o rhx 65 99 minutes o rvx 100 143 minutes o rux 144 or minutes.
Family care pace partnership 1.
Effective october 1 2015 excel.
Slps occupational therapists and physical therapists recommend the frequency and length of sessions that they anticipate a patient will need.
Effective october 1 2017 excel.
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.
Effective october 1 2016 excel.
Minimum data set mds 3 0 snf pps rug iv 2 agenda snf pps assessments.
For each therapy discipline the total minutes used for rug iv classification include all minutes in individual therapy one half of the minutes in concurrent therapy although total minutes received are documented on each resident s mds and all minutes in group therapy.
Under rug iv the number of pt ot and slp therapy treatment minutes are combined for a total number of treatment minutes that is used to classify a given patient into a given therapy rug under pdpm patient characteristics will be used to predict the therapy costs associated with a given patient rather than rely on service use.
