Mds Rugs Codes

The 3 digit classification code assigned to each rug group and newly defined 2 digit assessment.

Mds rugs codes. Cover the observation look back period which is the time period when the resident s condition is captured by the mds assessment. Mds 3 0 rug iv decision tree 48 grouper minnesota case mix system. Rug iii version 5 12 grouper package files. This instruction contains new hipps codes resulting from the conversion to the new rug iv coding system.

For a complete list of ai codes see page 22. The medicare required pps assessment schedule includes 5 day 14 day 30 day 60 day and 90 day scheduled assessments. Change request process see file below describes the steps necessary to request a modification in the hipps codeset and the cms code approval process. Rug iii version 5 2 calculator worksheet 34 group model.

Elimination of mds schedule 2. Elimination of other medicare required assessment omra day 5 mds. Mds 3 rug 53 groups. Optional interim payment assessment.

The implementation of the new minimum data set instrument mds 3 0 is scheduled for oct. For additional information about snf pdpm you can visit the cms website opens new window. Rug iii mds 3 0 mapping specifications v1 00 5 this document presents logic that can be used to produce rug iii classifications using assessment items contained on mds 3 0 and accommodates item set changes for assessments on or after october 1 2013 as well as earlier assessments. The 5 digit hipps code includes two components.

All other providers should follow cms expectations and schedule of assessments as outlined by the cms rai mds 3 0 and medicare billing manuals. The attached file contains the list of the newly added hipps codes. The hcpcs rates field must contain a 5 digit hipps code. Originally the corresponding updated resource utilization group rug iv reimbursement methodology was supposed to be implemented the same day.

Hipps code master list see file below an excel spreadsheet that provides a complete list of all valid hipps codes with their effective dates payment settings and code definitions. Mds 3 rug iii version 5 12 44 grouper. Minimum data set supportive documentation guidelines rug iii version 5 12 34 grouper june 1 2012. 2 a manual calculator module in the grouper program that allows the user to enter the rug iii mds items on screen and then view the resulting.

If you have questions please contact your humana market contractor representative as soon as possible. Mds 3 0 rug iv decision tree 48 grouper. The first three positions of the code contain the rug group and the last two positions of the code contain a 2 digit assessment indi cator ai code. Do not code anything on the mds that did not occur during the observation period.

Rug iii m3pi version 5 12b is located in the downloads section.