The worksheet takes the grouper logic.
Rug class explanation.
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The urban institute re examined prior efforts by abt associates 2000 and dr.
The texas health and human services commission s office of inspector general provides training to medicaid providers contractors their employees and staff from other state agencies that are involved in the administration of health and human services.
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Determine all of the rug iv groups for which a resident qualifies not just the first group for which the resident qualifies.
Very high intensity criteria in the last 7 days section p1b a b c.
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Rug iv 66 group model calculation worksheet for snfs page 1 of 29 october 12 2010 the purpose of this rug iv version 1 00 calculation worksheet for the 66 group model is to provide a step by step walk through to manually determine the appropriate rug iv classification based on the data from an mds assessment.
This web based training on the minimum data set mds resource utilization group rug is intended for long term care.
The rug iii methodology using the mds 2 0 assessment data and case mix index cmi values assigns each continuing care assessments to one of 44 resource utilization groups.
Rug iv classification system 66 group with medicare case mix indices for 10 1 2010 instructions.
Resource utilization groups rugs 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.
Rug iii adl score rug iii class 16 18 ruc 9 15 rub 4 8 rua b.
500 minutes or more total of therapy per week and at least 1 discipline for at least 5 days rug iii adl score rug iii class 16 18 rvc 9 15 rvb 4 8 rva.
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The flowcharts and sas code outline the rug iii grouping methodology applied to assessment data submitted to the ccrs.