Rug iii classification model version 5 20 34 group extensive services category i effective for assessments with an ard on or after 10 1 2013 1 effective for assessments dated on or aftet october 1 2013.
Mds 3 0 rug categories.
Mds 3 0 rug iv decision tree 48 grouper select the rug iv group with the highest case mix index cmi for which the resident meets the required conditions.
Domain adl score end splits or special requirements rug iv group cmi cms set f01 extensive services at least one of the following tracheostomy care while a resident o0100e2.
Rug iv coding requires the therapist to specifically account for the time captured within the look back period utilizing the three recognized formats.
The snf pps establishes a medicare required pps assessment schedule.
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.
To find resources and more information on the mds 3 0 rai and rug iv categories refer to chapter 6 of the long term care facility resident assessment instrument 3 0 user s manual on the mds 3 0 rai manual webpage.
Both the standard medicare part a rug reported in item z0100a and the medicare part a non therapy rug in item z0150a are recorded on the mds 3 0.
Mds 3 0 rug iv decision tree 48 grouper minnesota case mix system.
Extensive services 3 categories.
Mds items g october 2014 page g 8 g0110.
Cms s rai version 3 0 manual ch 3.
Individual concurrent and group.
Extensive services se3 se2 se1 0 1 2 3 4 5 clinical groups and services.
Activities of daily living adl assistance cont adl self performance algorithm start here remember to review the instructions for the rule of 3 and the adl self.
Mds 3 rug iii version 5 12 44 grouper.
Rug iii version 5 2 calculator worksheet 34 group model.
Major changes in mds 3 0 and rug iv3 among the most significant changes in the rug iv reimbursement system is within the rehabilitation categories.
Rug iii mds 3 0 mapping specifications v1 00 5 this document presents logic that can be used to produce rug iii classifications using assessment items contained on mds 3 0 and accommodates item set changes for assessments on or after october 1 2013 as well as earlier assessments.
Mds 3 0 rug iv decision tree 48 grouper.
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.