Rug Reimbursement Chart

In calculating the distribution 861 unclassifiable records bc1 were deleted from the file.

Rug reimbursement chart.

Effective october 1 2016 excel. Updates to the snf. Rug reimbursement rate chart. Effective october 1 2015 excel.

Effective october 1 2017 excel. Nursing facility case mix payment changes medicaid gov. Beginning with fy 2019 value based incentive payments will be made to snfs based on. And not your facility rug iv rate for this comparison.

Rug iv systems colored easy to view chart. Determining consolidated billing for institutional services. Separating the rug iv base rates into. Beginning with fy 2019 value based incentive payments will be made to snfs based on their.

1 jul 2018. 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. Effective october 1 2014 excel. Updated 2001 distribution of days for the rug 44 and rug 53 models.

Logic version 1 03 and code version 1 03 0 july 18 2013. There is a standard order or hierarchy and each rug is associated with relative weighting factors rug assignments can be made on a hierarchical or an index maximization basis 3 three basic sets of rugs see exhibit 1 for more detail. Fee schedule pfs including the professional component of diagnostic. Nursing facility provider reimbursement rule tn gov.

Skilled nursing facility prospective payment system cms. Rug iii version 5 2 calculator worksheet 34 group model. Rug iv classification system 66 group with medicare case mix indices for 10 1 2010. Rug 44 rug 53 distribution chart based on cy 2006 data is available for download from the downloads section below.

Due to rounding a slight variance may exist between the spreadsheets below and actual medicare payments. This distribution was used to calculate the nursing case mix indices. Having a minimum activity of daily living adl dependency score of 2 or more. Access the listings of resource utilization groups rugs for skilled nursing facilities snfs from the links below.

Major rug categories of rugs rug 34 rug 44 rug 53. Patient classification system of resource utilization groups rugs. Skilled nursing facility prospective payment system cms. 6 dec 2018 centers for medicare medicaid services on october 1 2020 cms will no longer support rug iii and rug iv case mix methodologies.

Pdpm nta variable per diem payment rate table nta case mix group fy 2019 federal per diem rate urban fy 2019 federal per diem rate rural day 1 3 day 4 100 day 1 3 day 4 100 na 760 99 253 66 726 96 242 32 nb 592 40 197 47 565 91 188 64.