Resource utilization group definition

Resource utilization group. (RUG) means the system for grouping a nursing facility’s residents according to their clinical and functional status identified from data supplied by the facility’s minimum data set as published by the United States Department of Health and Human Services.
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Resource utilization group. (RUG) means the system for grouping a nursing facility’s residents
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Resource utilization group or “RUG” means any of a number of classifications into which a nursing facility resident is categorized, based on functional status and anticipated use of services and resources. RUGs are assigned to individuals based on data elements derived from the Minimum Data Set (MDS) that in turn generate a case mix score used in the calculation of facility payment.
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Examples of Resource utilization group in a sentence

  • The MDS is a set of clinical and functional status measures that provides the basis for the Resource Utilization Group (RUG) classification system and the PPS.

  • PPS payments are per diem rates based on the patient’s condition as determined by classification into a specific Resource Utilization Group (RUG).

  • Under SNF PPS, payments are based upon the case mix or Resource Utilization Group (RUG) category that describes the patient.

  • Resource Utilization Group (RUG) is a resident classification system that groups nursing facility residents according to resource utilization and assigns weights related to the resource utilization for each classification.

  • The MDS is a set of clinical and functional status measures that provides the basis for the Resource Utilization Group (RUG)-III classification system and the PPS.

  • Be assigned one (1) of the following Minimum Data Set ( MDS) Resource Utilization Group ( RUG)-IV 48 Grouper categories: ES3, ES2, HE2, HE1, HD2, HD1, HC2, HC1, HB2, HB1, LE2, LE1, LD2, LD1, LC2, LC1, LB2, LB1.Source: 42 U.S.C. §§ 1395i-3, 1396r; 42 C.F.R. §§ 435.1010, 483.100-483.106, 483.112;483.120; Miss.

  • After 100 days of the Medicare benefit, TRICARE will become the primary payer if the beneficiary does not have other health insurance.•Second, the legislation required that the TRICARE program adopt the Medicare SNF Prospective Payment System (PPS) payment methods and rates, including Minimum Data Set (MDS) assessments, Resource Utilization Group (RUG)-III classifications, and Medicare weights and per diem rates.

  • Staffing data are case-mix adjusted using the Resource Utilization Group (RUG III) categories.

  • MDS assessments were then matched to SNF claims data using the beneficiary identifier, assessment indicator, assessment date, and Resource Utilization Group (RUG).

  • Many states permit recovery underconsumer protection statutes without requiring a demonstration of “actual” harm.


More Definitions of Resource utilization group

Resource utilization group or “RUG” means the system for grouping a nursing facility’s residents according to their clinical and functional status identified in MDS data supplied by a facility.
Sample 1Sample 2Sample 3
Resource utilization group or “RUG” means the system for grouping a nursing facility’s residents according to their clinical and functional status identified in data supplied by a facility’s minimum data set.
Sample 1Sample 2Sample 3
Resource utilization group or “RUG” means any of a number of classifications into which a nursing facility resident is categorized, based on functional status and anticipated use of services and resources. RUGs are assigned to individuals based on data elements derived from the LTC Minimum Data Set (MDS).
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Resource utilization group or “RUG” means a category-based group model classification system in which nursing facility residents classify into RUG-IV and/or other case mix models rate groups based on their attributes as a recipient of NF services using a RUG or category worksheet. Residents in each group utilize similar quantities and patterns of resource. Assignment of a resident to a RUG-IV or other case mix model group is based on certain item responses on the MDS 3.0. WA State uses the RUG-IV 57 group model. Medicare Part A uses the 66 group model.
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Resource utilization group or "RUG" means the system for grouping a nursing facility's residents according to their clinical and functional status identified in data supplied by a facility's minimum data set.
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Related to Resource utilization group

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  • Utilization management section means “you or your authorized representative.” Your representative will also receive all notices and benefit determinations.

  • Commitment Utilization Percentage means on any day the percentage equivalent to a fraction (a) the numerator of which is the aggregate outstanding principal amount of Revolving Credit Loans, including the aggregate outstanding principal amount of Letters of Credit, Swingline Loans and Competitive Loans, and (b) the denominator of which is the Total Commitment (or, on any day after termination of the Commitments, the Total Commitment in effect immediately preceding such termination).

  • Borrowing Base Utilization Percentage means, as of any day, the fraction expressed as a percentage, the numerator of which is the sum of the Revolving Credit Exposures of the Lenders on such day, and the denominator of which is the Borrowing Base in effect on such day.

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