Definition Of Rug Iv Categories

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.

Definition of rug iv categories. Use the hierarchical classification worksheet in chapter 6 of the rai manual. Rug iv is a patient classification system for skilled nursing patients used by the federal government to determine reimbursement levels. The urban institute re examined prior efforts by abt associates 2000 and dr. 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. Iv medication and iv feeding are no longer qualifiers for extensive service. 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.

Brant fries 2003 using data from our 2001 analysis files and replicated and validated the research.