RUGS score definition

RUGS score means a total number based on the individual RUGS derived from a resident's physical, mental and clinical condition, which projects the amount of relative resources needed to provide care to the resident. RUGS is calculated from the information obtained through the submission of the MDS data.
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Examples of RUGS score in a sentence

  • 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.

  • The PPS system changes nursing home reimbursement from a “pass-through” approach to a set price per day (i.e. capitated rate) based on a rating scale called the RUGS score (i.e. resource utilization groups).

  • The per diem rate utilizes the Medicare RAI/MDS assessment and RUGS score as the reference for rates.

  • The add-on is approved if an assessment of the acuity and needs of the resident demonstrates that the facility is not adequately reimbursed by the RUGS score for that resident.Vermont  Vermont gives an add-on for residents who have unique physical conditions which make it more difficult to provide care.

  • RUGS score" means a total number based on the individual RUGS derived from a resident's physical, mental and clinical condition, which projects the amount of relative resources needed to provide care to the resident.

  • The per diem rate utilizes the Medicaid Resident Assessment Instructions (RAI)/Minimum Data Set (MDS) assessment and RUGS score as the reference for rates.

  • The per diem rate utilizes the Medicaid RAI/MDS assessment and RUGS score as the reference for rates.

  • The per diem rate utilizes the [Medicare/Medicaid] Resident Assessment Instructions (RAI)/Minimum Data Set (MDS) assessment and RUGS score as the reference for rates.

  • The add-on is approved 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 resident.

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