Definition Of Rug In Mds

The minimum data set mds is part of the u s.

Definition of rug in mds.

Hipps codes are based on assessments made using the minimum data set mds. During the passage of the patient protection and affordable care act aca congress delayed the implementation of rug iv until oct. 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.

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. The minutes that define a rug level are a. The worksheet takes the grouper logic. 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.

It is typically completed by a nurse and triggers are provided for assessment of mds elements by other professionals. Mds 3 rug 53 groups. Coding isolation on the minimum data set mds is new territory for many mds coordinators. Federally mandated process for clinical assessment of all residents in medicare or medicaid certified nursing homes and non critical access hospitals with medicare swing bed agreements.

The term swing bed refers to the social security act s authorizing small rural hospitals to use their beds in both an acute care and skilled nursing facility. The minimum data set mds the mds assessment tool is a comprehensive summary of the patient s mental and physical issues completed by the fifth day after admission to a snf. 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. Mds 3 rug iii version 5 12 44 grouper.

While there have been no changes to the resident assessment instrument rai manual instructions for coding isolation many mds nurses are wondering if current isolation due to the sars. Instrument mds 3 0 is scheduled for oct. Up until now isolation has been a rare occurrence in long term care. Minimum data set supportive documentation guidelines rug iii version 5 12 34 grouper june 1 2012.

Originally the corresponding updated resource utilization group rug iv reimbursement methodology was supposed to be implemented the same day. Rug iii version 5 2 calculator worksheet 34 group model. The grouper outputs the rug iv code which is combined with an assessment indicator to create the hipps.