Mds 3 Rugs Iv

Major changes in mds 3 0 and rug iv3 among the most significant changes in the rug iv reimbursement system is within the rehabilitation categories.

Mds 3 rugs iv.

Forty five days past the october 1 conversion to mds 3 0 and the interim rugs iv payment groups and i still am getting a great deal of requests for analysis tools questions on payments liabilities dates and rates for the hybrid rugs iii groups maps between rugs iii and rugs iv etc. The guide also includes the calculation to determine the resident s late loss adl score. 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. Category i extensive services while a resident adl 2 16 adl 0rug iv.

They include bed mobility transfer eating and toilet use. A 45 day review. Mds 3 0 rug iv 66 category table urban adls end splits rug cmi rate 042 aids 15 16 signs of depression le2 45 412 73 941 02 15 16 no signs le1 33 345 26 787 19 11 14 signs of depression ld2 42 396 66 904 38 11 14 no signs ld1 27 332 42 757 92. To the best of our knowledge it reflects current federal regulations and practices.

The mds 3 0 rug iv requirements specify that concurrent therapy is limited to two patients per therapist regardless of payer source and the treating therapist or assistant must have line of sight of both patients. Domain adl score end splits or special requirements rug iv group cmi cms set f01. Mds 3 0 rugs iv rugs iii hybrid. Improved mds 3 0 affects how rug groups are organized how rug iv might affect your skilled nursing home facility iv medication and iv feeding are no longer qualifiers for extensive service.

Group one therapist provides the same service to up to four residents. Accurate capture of these adls is still essential as they influence each of the 66 rug iv categories just like they did for the groupings under rug iii. 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. Only mds 3 0 and rug iv mds 2 0 with ard 10 01 2010 or later is not valid and will be rejected.

Individual concurrent and group. Rug iv coding requires the therapist to specifically account for the time captured within the look back period utilizing the three recognized formats. 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.