Rugs iii grouper sheet 2025

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What is RUG-III? Resource Utilization Group, version III (RUG-III) is a grouping methodology used to categorize Continuing Care Reporting System (CCRS) data into groups based on the clinical and estimated resource utilization similarities of the individuals assessed.
RUG-III first tests whether a SNF resident qualifies for each of the seven major categories: (1) rehabilitation, (2) extensive services, (3) special care, (4) clinically complex, (5) impaired cognition, (6) behavior problems, and (7) reduced physical function.
RUG stands for resource utilization groups. The current iteration of this system is the RUG III classification system, which is used nationwide to assess patients care needs and daily payment structures for nursing homes.
Minnesota Case Mix is a system that classifies residents into distinct groups, called Resource Utilization Groups (RUGs), based on the residents condition and the care the resident received at the time of the assessment. A value is assigned to each group, which is then used to calculate the daily rate of payment.
RUG stands for Resource Utilization Groups and was the original patient classification system for determining reimbursements. This was not a holistic payment system, as it only allowed facilities to be reimbursed for therapy, not other forms of care.
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The Resource Utilization Group Score (RUG Score) appears near the very end of the MDS 3.0 in Section Z. The RUG score shows the type and quantity of care required for each individual resident.

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