snf pps: rug-iv categories and characteristics · ventilator/respirator, ... rug-iv categories and...

SNF PPS: RUG-IV Categories and Characteristics

1

Major RUG-IV Category

RUG-IV Score Characteristics Associated With Major RUG-IV Category

Rehabilitation Plus Extensive Services

RUX, RUL, RVX, RVL, RHX, RHL, RMX, RML, RLX Residents satisfying all of the following three conditions: •Having a minimum activity of daily living (ADL) dependency score of 2 or more. •Receiving physical therapy, occupational therapy, and/or speech-language pathology services while a resident.

• Ultra (U)-720+ minutes; 2 disciplines (one 5days; second at least 3days) • Very High (V)-500-719 minutes • High (H)-325-499 minutes • Medium (M)-150-324 minutes • Low (L)-45-149 minutes

•While a resident, receiving complex clinical care and have needs involving tracheostomy care, ventilator/respirator, and/or infection isolation.

Rehabilitation RUA, RUB, RUC, RVA, RVB, RVC, RHA, RHB, RHC, RMA, RMB, RMC, RLA, RLB

Residents receiving physical therapy, occupational therapy, and/or speech-language pathology services while a resident.

• Ultra (U)-720+ minutes; 2 disciplines (one 5days; second at least 3days) • Very High (V)-500-719 minutes • High (H)-325-499 minutes • Medium (M)-150-324 minutes • Low (L)-45-149 minutes • ADL Score

o 11-16 = C o 6-10 = B o 0-5 = A

Extensive Services ES3, ES2, ES1 Residents satisfying the following two conditions: •Having a minimum ADL dependency score of 2 or more. •While a resident, receiving complex clinical care and have needs involving: tracheostomy care, ventilator/respirator, and/or infection isolation.

SNF PPS: RUG-IV Categories and Characteristics

2

Special Care High HE2, HE1, HD2, HD1, HC2, HC1, HB2, HB1 Residents satisfying the following two conditions: •Having a minimum ADL dependency score of 2 or more. •Receiving complex clinical care or have serious medical conditions involving any one of the following: comatose, septicemia, diabetes with insulin injections and insulin order changes, quadriplegia with a higher minimum ADL dependence criterion (ADL score of 5 or more), chronic obstructive pulmonary disease (COPD) with shortness of breath when lying flat, fever with pneumonia, vomiting, weight loss, or tube feeding meeting intake requirement, parenteral/IV feeding, or respiratory therapy.

Special Care Low LE2, LE1, LD2, LD1, LC2, LC1, LB2, LB1 Residents satisfying the following two conditions: •Having a minimum ADL dependency score of 2 or more. •Receiving complex clinical care or have serious medical conditions involving any of the following: cerebral palsy with ADL dependency score of 5 or more, multiple sclerosis with ADL dependency score of 5 or more, Parkinson’s disease with ADL dependency score of 5 or more, respiratory failure and oxygen therapy while a resident, tube feeding meeting intake requirement, ulcer treatment with two or more ulcers including venous ulcers, arterial ulcers or Stage II pressure ulcers, ulcer treatment with any Stage III or IV pressure ulcer, foot infections or wounds with application of dressing, radiation therapy while a resident, or dialysis while a resident.

Clinically Complex CE2, CE1, CD2, CD1, CC2, CC1, CB2, CB1, CA2, CA1

Residents receiving complex clinical care or have conditions requiring skilled nursing management, interventions or treatments involving any of the following: pneumonia, hemiplegia with ADL dependency score of 5 or more, surgical wounds or open lesions with treatment, burns, chemotherapy while a resident, oxygen therapy while a resident, IV medications while a resident, or transfusions while a resident. Extensive or Special Care with ADL Score of 0 or 1

Behavioral Symptoms and Cognitive Performance

BB2, BB1, BA2, BA1 Residents satisfying the following two conditions: •Having a maximum ADL dependency score of 5 or less. •Having behavioral or cognitive performance symptoms, involving any of the following: difficulty in repeating words, temporal orientation, or recall (score on the Brief Interview for Mental Status <=9), difficulty in making self understood, short term memory, or decision making (score on the Cognitive Performance Scale >=3), hallucinations, delusions, physical behavioral symptoms toward others, verbal behavioral symptoms toward others, other behavioral symptoms, rejection of care, or wandering.

Reduced Physical Function

PE2, PE1, PD2, PD1, PC2, PC1, PB2, PB1, PA2, PA1

Residents whose needs are primarily for support with activities of daily living and general supervision.

CMS’s RAI Version 3.0 Manual CH 3: MDS Items [G]

October 2014 Page G-8

G0110: Activities of Daily Living (ADL) Assistance (cont.) ADL Self-Performance Algorithm

START HERE – Remember to review the instructions for the Rule of 3 and the ADL Self-Performance Coding Level Definitions before using the algorithm. STOP at the first code

that applies when moving down the algorithm.

Did the activity occur at least 1 time?

Did the activity occur 3 or more times?

Did the resident fully perform the ADL activitywithout ANY help or oversight from staff

every time?

Did the resident require full staffperformance every time?

Did the resident require full staff performanceat least 3 times but not every time OR

weight-bearing assistance 3 or more times?

Did the resident require a combination of fullstaff performance and weight-bearing

assistance 3 or more times?*

Did the resident require non-weight-bearingassistance 3 or more times?

Did the resident require a combination of fullstaff performance, weight-bearing

assistance, and/or non-weight-bearingassistance that total 3 or more times?*

Did the resident require oversight,encouragement, or cueing 3 or more times?

If none of the above are met,Code 1 - Supervision

Code 0Independent

Code 4Total

Dependence

Code 3ExtensiveAssistance

Code 2Limited

Assistance

Code 1Supervision

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

No

No

No

No

No

No

Code 7Activity

Occurred fewer than3 times

Code 8The ADL Activity (or anypart of the ADL) was not

performed by theresident or staff at all

Instructions for the Rule of 3Exceptions for the Rule of 3:

Code 0, Code 4, and Code 8 – as thedefinition for these coding levels is veryspecific and cannot be entered on theMDS unless it is the level that occurredevery time the ADL occurred.Code 7 – as this code only applies if theactivity occurred fewer than 3 times.

Rule of 3:1. When an activity occurs 3 or more times

at any one level, code that level.2. When an activity occurs 3 or more times

at multiple levels, code the mostdependent level that occurred 3 ormore times.

3. When an activity occurs 3 or more timesand at multiple levels, but not 3 timesat any one level, apply the following:a. Convert episodes of full staff

performance to weight-bearingassistance.

b. When there is a combination of fullstaff performance and weight-bearingassistance that total 3 or more times– code extensive assistance (3). Donot proceed to “c” below if “b” applies.

c. When there is a combination of fullstaff performance/weight-bearingassistance and/or non-weight-bearingassistance that total 3 or more times,code limited assistance (2).

If none of the above are met, codeSupervision (1)

*This box in the algorithm corresponds to a,b, and c under the third Rule of 3 above. Theinstruction in this box only applies when thethird Rule of 3 applies, i.e., an activity occurs3 or more times and at multiple levels, butnot 3 times at any one level (e.g., 2 timesnon-weight-bearing, 2 times weight-bearing).If the coding scenario does not meet thethird Rule of 3, do not apply a, b, or c of thethird Rule of 3, answer “No,” and then continue down the algorithm.

No

No

Patient NameARD

Bed MobilitySelf Performance 0 1 2 3 4 7 8Support 0 1 2 3 8

TransferSelf Performance 0 1 2 3 4 7 8Support 0 1 2 3 8

ToiletSelf Performance 0 1 2 3 4 7 8Support 0 1 2 3 8

EatingSelf Performance 0 1 2 3 4 7 8Support 0 1 2 3 8

Self Performance "‐", 0, 1, 7, or 8Support any numberADL Score 0

Self Performance "‐", 0, 1, 2, 7, or 8Support "‐", 0, 1, or 8ADL Score 0

Total ADL Score (A = 0‐5; B = 6‐10; C = 11‐16)

ADL Score Worksheet

Bed Mobility ADL Score

Transfer ADL Score

Toilet ADL Score

Eating ADL Score

2 or 3 "‐", 0, or 1 2 or 3 2 or 31 2 3 4

"‐", 0, 1, 2, 7, or 8 3 or 4 3 4

2any number

1

3"‐", 0, 1, or 2

2

4"‐", 0, 1, or 2

3

Bed Mobility, Transfers, & Toilet

Eating

3 or 434

ARD RUG billedADL audit score match = X

2.28.2016 B3.1.2016 A3.15.2016 A

ADL Score Worksheet

Total AuditedTotal Match% Match

ADL SCORE AUDIT TOOL

Patient NameSmithJonesMartin

Patient NameARD

Bed MobilitySelf Performance 0 1 2 3 4 7 8Support 0 1 2 3 8

TransferSelf Performance 0 1 2 3 4 7 8Support 0 1 2 3 8

ToiletSelf Performance 0 1 2 3 4 7 8Support 0 1 2 3 8

EatingSelf Performance 0 1 2 3 4 7 8Support 0 1 2 3 8

Self Performance "‐", 0, 1, 7, or 8Support any numberADL Score 0

Self Performance "‐", 0, 1, 2, 7, or 8Support "‐", 0, 1, or 8ADL Score 0

4 3 or 4any number "‐", 0, 1, or 2 "‐", 0, 1, or 2 3

3 4

Coding Instructions for ADL Self Performance

2

Bed Mobility ADL Score

1 2 3 4

Eating

"‐", 0, 1, 2, 7, or 8 3 or 4 3 42 or 3 "‐", 0, or 1 2 or 3 2 or 31

Transfer ADL Score

Toilet ADL Score

Total ADL Score (A = 0‐5; B = 6‐10; C = 11‐16)

Eating ADL Score

Bed Mobility, Transfers, & Toilet2 3

Code

0

1

2

3

4

7

8

Code

0

1

2

3

8

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

Definition

IndependentResident completed activity with no help or over‐sight every time during the seven day look‐back period

SupervisionOversight, encouragement, or cueing was provided three or more times during the seven day look‐back period

Limited Assistance

Resident was highly involved in activity and received physical help in guided maneuvering of limb(s) or other non‐weight bearing assistance on three or more times during the seven day look‐back period

Extensive Assistance

Resident performed part of the activity over the seven day look‐back period, help of the following type(s) was provided three or more times: Weight‐bearing support provided three or more times. Full staff performance of activity during part but not all of the seven day look‐back period

Total Dependence

There was full staff performance of an activity with no participation by resident for any aspect of the ADL activity. The resident must be unwilling or unable to perform any part of the activity over the entire seven day look‐back period

Activity Occurred Only Once or Twice The activity occurred but not three or more times

Activity Did Not OccurThe 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

ADL Activity Itself Did Not Occur During the Entire Period

Coding Instructions for ADL SupportCode for the most support provided over all shifts; code regardless of resident's self‐performance classification

Level of Support Definition

No Setup or Physical Assist Resident completed activity with no help or oversight

Setup Help Only

Resident is provided with materials or devices necessary to perform the ADL independently. This can include giving or holding out an item that the resident takes from the caregiver

One Person Physical Assist Resident was assisted by one staff person

Two+ Person Physical Assist Resident was assisted by two or more staff persons

#1PPS Day 1 2 3 4 5 6 7 8Calenday Day 14‐Feb 15‐Feb 16‐Feb 17‐Feb 18‐Feb 19‐Feb 20‐Feb 21‐FebDay of Week Sunday Monday Tuesday Wednesday Thursday Friday Saturday SundayPT Individual 52 75 75 78 80PT ConcurrentPT GroupOT Individual 75 78 80 52 75OT ConcurrentOT GroupST IndividualST ConcurrentST Group#2PPS Day 1 2 3 4 5 6 7 8Calenday Day 14‐Feb 15‐Feb 16‐Feb 17‐Feb 18‐Feb 19‐Feb 20‐Feb 21‐FebDay of Week Sunday Monday Tuesday Wednesday Thursday Friday Saturday SundayPT Individual 52 60 60 63 65PT Concurrent 30 30 30 30PT GroupOT Individual 75 78 80 52 75OT ConcurrentOT GroupST IndividualST ConcurrentST Group#3PPS Day 1 2 3 4 5 6 7 8Calenday Day 14‐Feb 15‐Feb 16‐Feb 17‐Feb 18‐Feb 19‐Feb 20‐Feb 21‐FebDay of Week Sunday Monday Tuesday Wednesday Thursday Friday Saturday SundayPT Individual 52 75 75 78 80PT ConcurrentPT GroupOT Individual 20 20 20 20 20OT Concurrent 20 20 20 20 20OT GroupST Individual 20 20 20 20 20ST ConcurrentST Group#4PPS Day 1 2 3 4 5 6 7 8Calenday Day 14‐Feb 15‐Feb 16‐Feb 17‐Feb 18‐Feb 19‐Feb 20‐Feb 21‐FebDay of Week Sunday Monday Tuesday Wednesday Thursday Friday Saturday SundayPT Individual 52 65 65 58 60PT Concurrent 30PT Group 20 20OT Individual 52 65 65 58 60

OT Concurrent 30OT Group 20 20ST IndividualST ConcurrentST Group#5PPS Day 1 2 3 4 5 6 7 8Calenday Day 14‐Feb 15‐Feb 16‐Feb 17‐Feb 18‐Feb 19‐Feb 20‐Feb 21‐FebDay of Week Sunday Monday Tuesday Wednesday Thursday Friday Saturday SundayPT Individual 30 30 30 30 30PT Concurrent 20 20 20 20 20PT GroupOT Individual 30 30 30 30 30OT Concurrent 20 20 20 20 20OT GroupST IndividualST ConcurrentST Group#6PPS Day 1 2 3 4 5 6 7 8Calenday Day 14‐Feb 15‐Feb 16‐Feb 17‐Feb 18‐Feb 19‐Feb 20‐Feb 21‐FebDay of Week Sunday Monday Tuesday Wednesday Thursday Friday Saturday SundayPT Individual 50 50 50 50 50PT ConcurrentPT GroupOT Individual 40 35 40 40 25OT Concurrent 35 35OT GroupST Individual 50 50 50 50 50ST ConcurrentST Group

RUG Billed Audit RUGBill ErrorPatient Id'r ARD Individ Conc Grp Days Individ Conc Grp Days Individ Conc Grp Days # Match

MDS 360 5 360 5Doc'nMDS 300 60 5 360 5Doc'nMDS 360 5 200 5 200 5Doc'nMDS 300 15 10 5 300 15 10 5Doc'nMDS 150 100 5 150 100 5 5Doc'nMDS 250 5 250 5 250 5Doc'n

RV

RU

RV

RU

RV

1

Section O Audit ToolPhysical Therapy Occupational Therapy Speech Therapy

RU

2

3

4

5

6

SCORE Total% Correct

# Possible

1 2 3 4 5 6 7 8 9 10 11 12Date 28‐Dec 29‐Dec 30‐Dec 31‐Dec 1‐Jan 2‐Jan 3‐Jan 4‐Jan 5‐Jan 6‐Jan 7‐Jan 8‐JanPT Minutes 45 E;50 55 58 42 32 45 15 58 50OT Minutes 46 E;50 55 45 48 31 45 60 40 55ST Minutes 40E; 45 15 59 50 55 30Total Assess Min 506Assessment Billed 5 dayAudit RUGBilled RUG RV RV RV RV RV RV RV RV RU RU RU RU

13 14 15 16 17 18 19 20 21 22 23 24Date 9‐Jan 10‐Jan 11‐Jan 12‐Jan 13‐Jan 14‐Jan 15‐Jan 16‐Jan 17‐Jan 18‐Jan 19‐Jan 20‐JanPT Minutes 66 54 35 46 45 69 47 47OT Minutes 55 46 45 45 55 45 45 45ST Minutes 55 55 50 55 50 50 50 45Total Assess Min 738Assessment Billed 14/COTAudit RUGBilled RUG RU RU RU RU RU RU RU RU RU RU RU RU

25 26 27 28 29 30 31 32 33 34 35 36Date 21‐Jan 22‐Jan 23‐Jan 24‐Jan 25‐Jan 26‐Jan 27‐Jan 28‐Jan 29‐Jan 30‐Jan 31‐Jan 1‐FebPT Minutes 45 45 45 45 32 33 30 66OT Minutes 45 45 50 46ST Minutes 50 50 50 50 45 45 30 35Total Assess Min 723 501Assessment Billed 30 day COTAudit RUGBilled RUG RU RU RU RV RV RV RV RV RV RV RH RH

Example 1

37 38 39 40 41 42 43 44 45 46 47 48Date 2‐Feb 3‐Feb 4‐Feb 5‐Feb 6‐Feb 7‐Feb 8‐Feb 9‐Feb 10‐Feb 11‐FebPT Minutes 37 30 30 25 48 38 30 24OT MinutesST Minutes 30 30 30 15Total Assess Min 328Assessment Billed COTAudit RUGBilled RUG RH RH RH RH RH RH RH RH RH RH

Date 49 50 51 52 53 54 55 56 57 58 59 60PT MinutesOT MinutesST MinutesTotal Assess MinAssessment BilledAudit RUGBilled RUG

61 62 63 64 65 66 67 68 69 70 71 72DatePT MinutesOT MinutesST MinutesTotal Assess MinAssessment BilledAudit RUGBilled RUG



25 26 27 28 29 30 31 32 33 34 35 36Date 21‐Jan 22‐Jan 23‐Jan 24‐Jan 25‐Jan 26‐Jan 27‐Jan 28‐Jan 29‐Jan 30‐Jan 31‐Jan 1‐FebPT Minutes 45 45 45 45 32 33 30 66OT Minutes 45 45 50 46ST Minutes 50 50 50 50 45 45 30 35Total Assess Min 723 501Assessment Billed 30 dayAudit RUGBilled RUG RU RU RU

Example 2

37 38 39 40 41 42 43 44 45 46 47 48Date 2‐Feb 3‐Feb 4‐Feb 5‐Feb 6‐Feb 7‐Feb 8‐Feb 9‐Feb 10‐Feb 11‐FebPT Minutes 37 30 30 25 48 38 30 24OT MinutesST Minutes 30 30 30 15Total Assess Min 383 246Assessment Billed COT COTAudit RUGBilled RUG





25 26 27 28 29 30 31 32 33 34 35 36Date 21‐Jan 22‐Jan 23‐Jan 24‐Jan 25‐Jan 26‐Jan 27‐Jan 28‐Jan 29‐Jan 30‐Jan 31‐Jan 1‐FebPT Minutes 45 45 45 45 32 33 30 66OT Minutes 45 45 50 46ST Minutes 50 50 50 50 45 45 30 35Total Assess Min 723Assessment Billed 30 dayAudit RUGBilled RUG RU RU RU RU RU RU RU RU RU RU RU RU

Example 3‐‐COT Checkpoints

37 38 39 40 41 42 43 44 45 46 47 48Date 2‐Feb 3‐Feb 4‐Feb 5‐Feb 6‐Feb 7‐Feb 8‐Feb 9‐Feb 10‐Feb 11‐FebPT Minutes 37 30 30 25 48 38 30 24OT MinutesST Minutes 30 30 30 15Total Assess MinAssessment BilledAudit RUGBilled RUG RU RU RU RU RU RU RU RU RU RU



FINAL: RUG-IV Version 1.03.0 Grouper Documentation

Table 9-1. MDS 3.0 Items Used in RUG-IV

RUG Item #

MDS Label Description Length Start

PositionEnd

Position1 A0310A Type of assessment: OBRA 2 270 2712 A0310B Type of assessment: PPS 2 272 2733 A0310C Type of assessment: OMRA 1 274 2744 A0310D Swing bed clinical change assessment 1 275 2755 A2300 Assessment reference date 8 486 4936 A2400B Start date of most recent Medicare stay 8 495 5027 A2400C End date of most recent Medicare stay 8 503 5108 B0100 Comatose 1 511 5119 B0700 Makes self understood 1 515 515

10 C0500 BIMS res interview: summary score 2 527 52811 C0700 Staff asmt mental status: short-term memory

OK1 530 530

12 C1000 Cognitive skills for daily decision making 1 537 53713 D0300 PHQ res: total mood severity score 2 562 56314 D0600 PHQ staff: total mood score 2 585 58615 E0100A Psychosis: hallucinations 1 588 58816 E0100B Psychosis: delusions 1 589 58917 E0200A Physical behav symptoms directed toward

others1 591 591

18 E0200B Verbal behav symptoms directed toward others 1 592 59219 E0200C Other behav symptoms not directed toward

others1 593 593

20 E0800 Rejection of care: presence and frequency 1 601 60121 E0900 Wandering: presence and frequency 1 602 60222 G0110A1 Bed mobility: self-performance 1 646 64623 G0110A2 Bed mobility: support provided 1 647 64724 G0110B1 Transfer: self-performance 1 648 64825 G0110B2 Transfer: support provided 1 649 64926 G0110H1 Eating: self-performance 1 660 66027 G0110H2 Eating: support provided 1 661 66128 G0110I1 Toilet use: self-performance 1 662 66229 G0110I2 Toilet use: support provided 1 663 66330 H0200C Urinary toileting program: current program/trial 1 689 68931 H0500 Bowel toileting program being used 1 692 692

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RUG Item #


PositionEnd

Position32 I2000 Pneumonia 1 711 71133 I2100 Septicemia 1 712 71234 I2900 Diabetes mellitus (DM) 1 717 71735 I4400 Cerebral palsy 1 728 72836 I4900 Hemiplegia or hemiparesis 1 731 73137 I5100 Quadriplegia 1 733 73338 I5200 Multiple sclerosis 1 734 73439 I5300 Parkinson's disease 1 736 73640 I6200 Asthma (COPD) or chronic lung disease 1 747 74741 I6300 Respiratory failure 1 748 74842 J1100C Short breath/trouble breathing: lying flat 1 851 85143 J1550A Problem conditions: fever 1 855 85544 J1550B Problem conditions: vomiting 1 856 85645 K0300 Weight loss 1 877 87746 K0500A Nutritional approaches: parenteral /IV feeding 1 878 87847 K0500B Nutritional approaches: feeding tube 1 879 87948 K0510A1 Nutrition approach: Not Res: parenteral/IV

feeding1 1444 1444

49 K0510A2 Nutrition approach: Res: parenteral/IV feeding 1 1445 144550 K0510B1 Nutrition approach: Not Res: feeding tube 1 1446 144651 K0510B2 Nutrition approach: Res: feeding tube 1 1447 144752 K0700A Proportion total calories via parenteral/tube

feed1 883 883

53 K0700B Average fluid intake per day by IV or tube 1 884 88454 K0710A3 Prop calories parenteral/tube feed: 7 days 1 1468 146855 K0710B3 Avg fluid intake per day IV/tube: 7 days 1 1471 147156 M0300B1 Stage 2 pressure ulcers: number present 1 900 90057 M0300C1 Stage 3 pressure ulcers: number present 1 910 91058 M0300D1 Stage 4 pressure ulcers: number present 1 912 91259 M0300F1 Unstaged slough/eschar: number present 1 916 91660 M1030 Number of venous and arterial ulcers 1 940 94061 M1040A Other skin probs: infection of the foot 1 941 94162 M1040B Other skin probs: diabetic foot ulcer(s) 1 942 94263 M1040C Other skin probs: other open lesion(s) on the

foot1 943 943

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RUG Item #


PositionEnd

Position64 M1040D Other skin probs: lesions not ulcers, rashes,

cuts1 944 944

65 M1040E Other skin probs: surgical wound(s) 1 945 94566 M1040F Other skin probs: burns (second or third

degree)1 946 946

67 M1200A Skin/ulcer treat: pressure reduce device for chair

1 948 948

68 M1200B Skin/ulcer treat: pressure reducing device for bed

1 949 949

69 M1200C Skin/ulcer treat: turning/repositioning 1 950 95070 M1200D Skin/ulcer treat: nutrition/hydration 1 951 95171 M1200E Skin/ulcer treat: ulcer care 1 952 95272 M1200F Skin/ulcer treat: surgical wound care 1 953 95373 M1200G Skin/ulcer treat: application of dressings 1 954 95474 M1200H Skin/ulcer treat: apply ointments/medications 1 955 95575 M1200I Skin/ulcer treat: apply dressings to feet 1 956 95676 N0350A Insulin: insulin injections 1 959 95977 N0350B Insulin: orders for insulin 1 960 96078 O0100A2 Treatment: chemotherapy - while resident 1 970 97079 O0100B2 Treatment: radiation - while resident 1 972 97280 O0100C2 Treatment: oxygen therapy - while resident 1 974 97481 O0100E2 Treatment: tracheostomy care - while resident 1 978 97882 O0100F2 Treatment: vent/respirator - while resident 1 980 98083 O0100H2 Treatment: IV medications - while resident 1 984 98484 O0100I2 Treatment: transfusions - while resident 1 986 98685 O0100J2 Treatment: dialysis - while resident 1 988 98886 O0100M2 Treatment: isolate/quarantine - while resident 1 993 99387 O0400A1 Speech-language/audiology: individ minutes 4 1008 101188 O0400A2 Speech-language/audiology: concur minutes 4 1012 101589 O0400A3 Speech-language/audiology: group minutes 4 1016 101990 O0400A4 Speech-language/audiology: number of days 1 1020 102091 O0400A5 Speech-language/audiology: start date 8 1021 102892 O0400A6 Speech-language/audiology: end date 8 1029 103693 O0400B1 Occupational therapy: individ minutes 4 1037 104094 O0400B2 Occupational therapy: concur minutes 4 1041 1044

Page 17 of 24


RUG Item #


PositionEnd

Position95 O0400B3 Occupational therapy: group minutes 4 1045 104896 O0400B4 Occupational therapy: number of days 1 1049 104997 O0400B5 Occupational therapy: start date 8 1050 105798 O0400B6 Occupational therapy: end date 8 1058 106599 O0400C1 Physical therapy: individ minutes 4 1066 1069100 O0400C2 Physical therapy: concur minutes 4 1070 1073101 O0400C3 Physical therapy: group minutes 4 1074 1077102 O0400C4 Physical therapy: number of days 1 1078 1078103 O0400C5 Physical therapy: start date 8 1079 1086104 O0400C6 Physical therapy: end date 8 1087 1094105 O0400D2 Respiratory therapy: number of days 1 1099 1099106 O0420 Distinct calendar days of therapy 1 1484 1484107 O0450A Resumption of therapy code 1 1429 1429108 O0500A Range of motion (passive): number of days 1 1110 1110109 O0500B Range of motion (active): number of days 1 1111 1111110 O0500C Splint or brace assistance: number of days 1 1112 1112111 O0500D Bed mobility training: number of days 1 1113 1113112 O0500E Transfer training: number of days 1 1114 1114113 O0500F Walking training: number of days 1 1115 1115114 O0500G Dressing and/or grooming training: number of

days1 1116 1116

115 O0500H Eating and/or swallowing training: number of days

1 1117 1117

116 O0500I Amputation/prosthesis training: number of days 1 1118 1118117 O0500J Communication training: number of days 1 1119 1119

Section 10. Standard Case Mix Index (CMI) Sets

Seven standard CMIs sets will be available for index maximizing classification with this Logic Version of the RUG-IV Grouper. The CMI values for the CMI sets are provided in separate documents that are described above (see Section 2: Files Available with the Grouper package).

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snf pps: rug-iv categories and characteristics · ventilator/respirator, ... rug-iv categories and...

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