resource utilization group


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resource utilization group

Health administration Any of a number of groups into which a nursing home resident is categorized, based on functional status and anticipated use of services and resources. See Functional assessment.

Re·source U·ti·li·za·tion Group

(RUG) (rē'sōrs yū'til-ī-zā'shŭn grūp)
One of 44 patient categories, each with a corresponding per diem reimbursement rate as mandated by Medicare.

resource utilization group

Abbreviation: RUG
Any of 44 classifications into which nursing home patients may be assigned according to their activity levels, underlying illnesses, the complexity of care they need, their cognitive status, and other variables affecting their care. The primary use is for insurance reimbursement calculations.
See also: group
References in periodicals archive ?
Refining a case-mix measure for nursing homes: Resource Utilization Groups (RUG-III).
Case Mix for Nursing Home Payment: Resource Utilization Groups, Version 11.
Case-Mix Classification of Medicare Residents in Skilled Nursing Facilities: Resource Utilization Groups (RUG-T18).
Distribution of patients by number of weekly assessments and total episode casemix index (CMI) and mean episode CMI by number of weekly assessments; patients who were never allocated to a Resource Utilization Groups, version III category rehabilitation group
The major reason for this problem is that the variations in severity of medically complex patients admitted to nursing homes are not well characterized by the Resource Utilization Groups (RUGs) system, and this leads to use of average reimbursement amounts, which are not clearly related to the costs of care.
This group also contains measures originally developed for use in US nursing homes such as Resource Utilization Groups (RUGs) [15].
Last year, CMS issued a regulation making three key changes in the Skilled Nursing Facility (SNF) Medicare prospective payment system, which reimburses SNFs through Resource Utilization Groups (RUGs).

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