RUGS definition

RUGS means the 34 RUG identification system based on the Resource Utilization Group System established by Medicare to measure and ultimately pay for the labor, fixed costs and other resources necessary to provide care to Medicaid patients. Each "RUG" is assigned a weight based on an assessment of its relative value as measured by resource utilization.
Sample 1Sample 2Sample 3
RUGS means the resource utilization groups that are used under the Prospective Payment System to determine Medicare reimbursement levels, which groups are based on a hierarchy of the resource intensity of a patient;
Sample 1Sample 2
RUGS means the 34 RUG identification system based on the Resource Utilization Group System established by Medicare to measure and ultimately pay for the labor, fixed costs and other resources necessary to provide care to Medicaid patients. Each
Sample 1

Examples of RUGS in a sentence

  • DO NOT INSTALL POWER CORDS UNDER RUGS OR CARPET.THE POWER CORD HAS A GROUNDING PIN.

  • Medicare will reimburse the Facility a fixed per diem or daily fee based on the Resident’s classification within the Medicare RUGS III guidelines.

  • During the H conversion, this field was populated with data throughout history (as appro- priate either by moving ID on Version G or by deriving from specific demo criteria).01 = Nursing Home Case-Mix and Quality: NHCMQ (RUGS) Demo -- testing PPS for SNFs in 6states, using a case-mix classification system based on resident characteristics and actual resources used.

  • The Department may approve an add-on rate if an assessment of the acuity and needs of the patient demonstrates that the facility is not adequately reimbursed by the RUGS score for that patient.

  • NOTE: In Version 'G', RUGS phase was stored in redefined Claim Edit Group, 3rd occurrence, 4th position.Demo ID = 02 (Home Health demo) -- the text field will contain PROV#.

  • The calculation will be made as follows: MDS data is run for a sample population of each facility to group patient days into one of the Medicare RUGS.

  • If RUGS phase is blank or not one of the above the text fieldwill reflect 'INVALID'.

  • For SNF RUGS demo claims only (9000 series revenue center codes), this field contains SNF customary accommodation charge, (ie., charges related to the accommodation revenue center code that would have applicable if the provider had not been participating in the demo).

  • For example, a claim involving a CHOICES demo id '05' wouldcontain the MCO plan contract number in the first five positions of this text field.NOTE: During the Version H conversion this field was populated with data throughout history.DB2 ALIAS: CLM_DEMO_INFO_TXT SAS ALIAS: DEMOTXTSTANDARD ALIAS: CLM_DEMO_INFO_TXT TITLE ALIAS: DEMO_INFODERIVATION:DERIVATION RULES:Demo ID = 01 (RUGS) -- the text field will containa 2, 3 or 4 to denote the RUGS phase.

  • RUGS classifies nursing facility residents into 48 groups based on information collected using the federally required minimum data set.

Related to RUGS

  • Glass means Internal Glass, External Glass and Specified Glass.

  • Skateboard means a board with small wheels that is usually ridden by a person. For purposes of these rules, a nonmotorized scooter (a board with a handle) is considered a skateboard.

  • Kitchen means a food preparation area that includes a sink, refrigerator and a microwave oven or stove.

  • Bathing means washing oneself by sponge bath; or in either a tub or shower, including the task of getting into or out of the tub or shower.

  • Bathroom means any room containing a built-in flush-type toilet.

  • Toilet means a disposal apparatus used for urination and defecation, fitted with a seat and flushing device.

  • washing means a process of separation by water using only size as a criterion;

  • Toilet room means a room containing a water closet and a wash basin.

  • Carpet and upholstery cleaner means a cleaning product designed for the purpose of eliminating dirt and stains on rugs, carpeting, and the interior of motor vehicles and/or on household furniture or objects upholstered or covered with fabrics such as wool, cotton, nylon or other synthetic fabrics. “Carpet and Upholstery Cleaner” includes, but is not limited to, products that make fabric protectant claims. “Carpet and Upholstery Cleaner” does not include “General Purpose Cleaners”, “Spot Removers”, vinyl or leather cleaners, dry cleaning fluids, or products designed exclusively for use at industrial facilities engaged in furniture or carpet manufacturing.

  • Automotive windshield washer fluid means any liquid designed for use in a motor vehicle windshield washer system either as an antifreeze or for the purpose of cleaning, washing, or wetting the windshield. Automotive windshield washer fluid does not include fluids placed by the manufacturer in a new vehicle.

  • Caseworker means a PCSA, PCPA or PNA staff person who is responsible for provision of protective services or supportive services to the child and his parent, guardian, custodian or substitute caregiver.

  • Toileting means getting to and from the toilet, getting on and off the toilet, and performing associated personal hygiene.

  • Soft drinks means nonalcoholic beverages that contain natural or artificial sweeteners. "Soft drinks" does not include beverages that contain milk or milk products, soy, rice, or similar milk substitutes, or that contains greater than fifty per cent vegetable or fruit juice by volume.

  • Plumbing means plumbing as defined in Section 1(1) of the Act.

  • Cabinet means the Cabinet for Health and Family Services;

  • Plate means the license plate, including renewal decals, if any, issued for a vehicle registered under the plan by the base jurisdiction.

  • Duct is a single enclosed path to house facilities to provide Telecommunications Services.

  • Chimney means a construction by means of which a flue is formed for the purpose of carrying products of combustion to the open air and includes a chimney stack and the flue pipe.

  • Tableware means multi-use eating and drinking utensils.

  • Appliances means and include electrical, mechanical and electronic appliances such as refrigerator, television, DVD player, videocassette recorder/player, washing machine, microwave oven, music system, personal computer, laptops and air-conditioner contained or fixed in the Insured’s home for domestic use.

  • Disinfectant means any oxidant, including but not limited to chlorine, chlorine dioxide, chloramines, and ozone added to water in any part of the treatment or distribution process, that is intended to kill or inactivate pathogenic microorganisms.

  • Shrub means and refer to a woody plant, smaller than a tree, consisting of several small stems from the ground or small branches near the ground.

  • Flue means a passage for conveying the products of combustion from a gas appliance to the external air.

  • Floodproofing means any combination of structural and nonstructural additions, changes, or adjustments to structures which reduce or eliminate flood damage to real estate or improved real property, water and sanitation facilities, structures, and their contents.

  • Pavement means any type of improved surface that is within the public right-of-way and that is paved or otherwise constructed with bituminous, concrete, aggregate, or gravel.

  • Bulkhead means an airtight structure separating the working chamber from free air or from another chamber under a lower pressure than the working pressure;