Definition Of Rug Iv Categories

The aim of the rug refinement is to improve the ability of the existing rug iii classification system to explain non therapy ancillary nta costs.

Definition of rug iv categories.

Rug iv is a patient classification system for skilled nursing patients used by the federal government to determine reimbursement levels. 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 iv classification system 66 group with medicare case mix indices for 10 1 2010 instructions. This method is stemming from the snf pps fy2012 final rule and was previously rug iii.

Determine all of the rug iv groups for which a resident qualifies not just the first group for which the resident qualifies. 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 hierarchical level. Most residents who were once classified under the extensive service category under rug iii will be re classified under the special care and clinically complex. Brant fries 2003 using data from our 2001 analysis files and replicated and validated the research.

Only 1 04 of the residents can classify under extensive services.