What Does Rug Level Stand For

When prospective payment for part a stays in snfs was established the rug rate was based on observation of time actually spent by clinicians.

What does rug level stand for.

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. Rug any of 44 classifications into which nursing home patients may be assigned according to their activity levels underlying illnesses the complexity of care they need their cognitive status and other variables affecting their care. Therefore evaluation minutes are already accounted for and are not. Resource utilization group abbreviation.

Time spent on evaluation was included in the calculation of the rug rates. This system categorizes residents into a payment group based upon their care and resource needs. The rug factor in addition to the effect of the full cbsa wage index facilities are also dealing with a change in their revenue stream resulting from the implementation of the new resource utilization group rug system better known as rugs 53. Rug iv categories and characteristics 1 major rug iv category rug iv score characteristics associated with major rug iv category.

The rug level then determines the per diem rate that the facility receives. A week minimum at least 2 disciplines 1 discipline 5 days. Level of self performance the activity did not occur or family and or non facility staff provided care 100 of the time for that activity over the entire seven day look back period. Evaluation time does not count as minutes toward rug level.