Ohio Rugs Iv

Rug iv classification system 66 group with medicare case mix indices for 10 1 2010 instructions.
Ohio rugs iv. Rapid rug iv guide 48 group classification the rapid rug iv guide is intended to be an at a glance reference providing the mds 3 0 items and criteria for each rug category. This change will affect your medicaid reimbursement rate calculation beginning july 1 2016 using calculations data from 4th quarter 2015 and 1st quarter 2016. Hallucinations e0100b delusions adl score restorative nursing rug iv class e0200a 2 or 3 physical behavioral symptoms directed toward others 2 5 2 5. On july 31 2018 the fiscal year.
2019 snf medicare rug iv pps rate calculator now available. 3 odm will use the forty five grouper model with the rug iii. In november 2015 the state of ohio made a decision to use the rugs iv 57 group model for medicaid reimbursement reimbursements. Behavioral symptoms and cognitive performance step 3 behavioral symptoms step 1.
In november 2015 the state of ohio made a decision to use the rugs iv 57 group model for medicaid reimbursement reimbursements. The worksheet takes the grouper logic. 8 16 2018 the 2020 snf pdpm rate calculator is now available. You can use it to view your facility s rates.
Iii iv v vi vii depressed depressed depressed cc2 cc1 yes no cb2 cb1 yes no ca2 ca1 yes no adl adl 1 5 1 6 6 10 2 5 nursing restorative nursing restorative nursing restorative pe2 pe1 2 0 1 pd2 pd1 pc2 pc1 2 5 0 1 nursing restorative. Determine all of the rug iv groups for which a resident qualifies not just the first group for which the resident qualifies. The guide also includes the calculation to determine the resident s late loss adl score. Use the hierarchical classification worksheet in chapter 6 of the rai manual.
This change will affect your medicaid reimbursement rate calculation beginning july 1 2016 using calculations data from 4th quarter 2015 and 1st quarter 2016. Visio rug iv 57 grouper arial font vsd author. The rug iv major categories listed in paragraph c of this rule are listed in descending order of hierarchy. E0100a toilet use g0110i.
Category i extensive services while a resident adl 2 16 adl 0rug iv. 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.