Special Rehabilitation Rug Grouping
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Rug iii groups for which the resident qualifies then assign that group as the rug iii classification and you are finished.
Special rehabilitation rug grouping. If the resident would qualify in one of the extensive services groups and also in a rehabilitation group always choose the extensive services classification since it is higher in the hierarchy. Cp ms quadriplegia each must have an adl. This system categorizes residents into a payment group based upon their care and resource needs. When you find the first of the 66 individual rug iv groups for which the resident qualifies assign that group as the rug iv classification.
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. Special rehabilitation home care client 11 15 rb 4 5 ca 11 15 cc 6 10 cb adl 4 5 ia 6 10 ib no no no no no no ra 1 ra 2 adl 4 10 ra adl adl adl adl. Rug resource utilization groups is a patient classification system for nursing home patients used by the federal government to determine reimbursement levels for skilled nursing home facilities. Resource utilization groups iii rug.
Resource utilization group rug iv 48 group 8 rehabilitation rehabilitation yes adl category ii rae 1 650 rad 1 580 rac 1 360 rab 1 100 15 16 11 14 6 10 rac rab raa rae rad 2 5 0 1 raa 0 820 rehabilitation classification is any combination of the disciplines of licensed speech language pathology occupational therapy or physical therapy services. The rug iii hc methodology assigns each assessment to one of 23 groups. Resource utilization group iii rug iii iii 7 clinical categories. Microsoft word rug iiihc diagram doc author.
Special care 3 categories at least one of the following conditions must be present. 14 3 3 6 4 4 10. Special care special rehabilitation clinically complex care impaired cognition behaviour problems reduced physical functions extensive services. Rug iv score characteristics associated with major rug iv category rehabilitation plus extensive services rux rul rvx rvl rhx rhl.
Extensive or special care with adl score of 0 or 1 behavioral symptoms and cognitive performance bb2. Pt group ot individual 75 78 80 52 75 ot concurrent ot group st individual st concurrent. Rug iii classification 34 group model special care category iii 7 effective for assessments dated on or aftet october 1 2013. Each of the 23 rug iii hc groups fall into one of seven major categories.