Resource Utilization Groups Version 4 Rug Iv

Effective october 1 2019 the snf pdpm model replaces the current medicare part a reimbursement structure known as resource utilization groups version iv rug iv.

Resource utilization groups version 4 rug iv.

In the hierarchical approach start at the top of the groups extensive service and work down. Skilled nursing facility snf minimum data set mds resource utilization group rug with new rug iv refinements stemming from the snf pps fy2012 final rule you might find yourself feeling a bit overwhelmed and wondering how you will transition your facility. Resource utilization group version iv rug iv 48 group calculation guide prepared by myers and stauffer lc 1 dedicated to government health programs the purpose of this calculation guide for the 48 group model is to provide a step by step instructional guide to manually determine the appropriate rug iv classification based on the responses. Guidance for providers on key aspects of the rug iv snf pps case mix system which was put into place on an interim basis on october 1st 2010.

Rug iv methodology centers on implementing a payment limit predicated upon the aggregate of services provided where comorbidities are not factored in at all. Per diem payments for each admission are case mix adjusted using a resident classification system resource utilization groups version iv rug iv based on data from resident assessments mds 3 0 and relative weights developed from staff time data acronym. Comments are due no later than 5 p m. Represents the relative resource utilization associated with each of the 48 rug iv classications.

On june 26 2017. While the following guide. In particular cms is seeking comments on the possibility of replacing the snf pps existing case mix classification model the resource utilization groups version 4 rug iv with a new model the resident classification system version 1 rcs 1. The purpose of this rug iv version 1 00 calculation worksheet for the 66 group model is to.

Reasons behind the change. Then from the qualifying groups choose the rug iv group that has the highest cmi. Hierarchical classification is used in some payment systems in staffing analysis and in many research projects. For index maximizing first determine all of the rug iv groups for which the resident qualifies.

Resource utilization group rug iv 48 group 4 hierarchical classification. Cmi that represents the relative resource utilization for each rug iv group. All lines will remain in a listen only mode and cover question and answer session. Resource utilization group version 4 conference call.

For index maximizing rst determine all of the rug iv groups for which the assessment qualies. If anyone has any objections you may disconnect at this time.