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 levels snf minutes.
The rug levels are.
Family care pace partnership 1.
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.
Effective october 1 2016 excel.
Adjusting a snf rug.
Skilled nursing facility.
Access the listings of resource utilization groups rugs for skilled nursing facilities snfs from the links below.
Due to rounding a slight variance may exist between the spreadsheets below and actual medicare payments.
Increased rug submit adjustment within 120 days from through date listed on claim.
O for definitions during the last 7 days.
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.
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.
Effective october 1 2017 excel.
Effective october 1 2014 excel.
Snf pps and rug iv snf pps assessments and policies september 1 2010.
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.
Iom publication 100 04 medicare claims processing manual chapter 6 section 30 3.
Enrolled in family care may be eligible at a wisconsin medicaid nursing home certifiable level of care or at a.
Effective october 1 2015 excel.
4 8 rua 16 18 rvc 9 15 rvb.
Rug group and the last two positions of the code contain a 2 digit assessment indi cator ai code.
At least 720 minutes.
A federal government website managed by the centers for medicare medicaid services 7500 security boulevard baltimore md 21244.
A week minimum at least 2 disciplines 1 discipline 5 days 2nd at least 3 days.
Decreased rug allowed to submit adjustment after 120 days to refund medicare.