Definition Of Rug Iv Categories

The aim of the rug refinement is to improve the ability of the existing rug iii classification system to explain non therapy ancillary nta costs.

Definition of rug iv categories.

Use the hierarchical classification worksheet in chapter 6 of the rai manual. 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. Rug iv is a patient classification system for skilled nursing patients used by the federal government to determine reimbursement levels. 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.

Determine all of the rug iv groups for which a resident qualifies not just the first group for which the resident qualifies. This method is stemming from the snf pps fy2012 final rule and was previously rug iii. Iv medication and iv feeding are no longer qualifiers for extensive service. 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.

Only 1 04 of the residents can classify under extensive services.