Resource Utilization Group Version IV (RUG IV) - alpha-numeric code
General Details:
Name:
Resource Utilization Group Version IV (RUG IV) - alpha-numeric code
Steward:
NINDS
Definition:
Indicates the Resource Utilization Group Version IV (RUG IV). Medicare pays skilled nursing facilities (SNFs) under a Prospective Payment System (PPS). PPS payments are per diem rates based on the patient's condition as determined by classification into a specific Resource Utilization Group (RUG). This classification is done by the use of a clinical assessment tool, the Minimum Data Set (MDS) and is required to be performed periodically according to an established schedule for purposes of Medicare payment. Each MDS represents the patient's clinical status based on an assessment reference date and established look back periods for the covered days associated with that MDS.
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Qualified
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Resource Utilization Group Version IV (RUG IV) - alpha-numeric code
Tags:
Designations:
Definition:
Indicates the Resource Utilization Group Version IV (RUG IV). Medicare pays skilled nursing facilities (SNFs) under a Prospective Payment System (PPS). PPS payments are per diem rates based on the patient's condition as determined by classification into a specific Resource Utilization Group (RUG). This classification is done by the use of a clinical assessment tool, the Minimum Data Set (MDS) and is required to be performed periodically according to an established schedule for purposes of Medicare payment. Each MDS represents the patient's clinical status based on an assessment reference date and established look back periods for the covered days associated with that MDS.
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See http://www.cms.hhs.gov/MDS20SWSpecs/ for the most current list of RUG codes. RUG-IV went into effect October 1, 2010.