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.
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.

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.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012

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
Medical Dictionary, © 2009 Farlex and Partners
References in periodicals archive ?
Schneider, D., Fries, B.E., Foley, W., et al.: Case Mix for Nursing Home Payment: Resource Utilization Groups, Version 11.
* Resource Utilization Groups, version III (RUG-III) explains the variation in resource use of elderly people each day based on their clinical characteristics.
Fries, B.E., Schneider, D.P., Foley, W.J., et al.: Refining a Case-Mix Measure for Nursing Homes: Resource Utilization Groups (RUG-III).
Fries, B.E., and Cooney, L.M.: Resource utilization groups: A patient classification system for long-term care.
Carpenter GI, Main A, Turner G, Casemix for the elderly in-patient: resource utilization groups (RUGs) validation project.
That brings us to the second of the two studies, Nursing Home Resident Assessment: Resource Utilization Groups. The report states: "For 46 per cent of the residents the nursing home coded the resident in a RUG that was higher than our reviewer's.
WHEN THE HEALTH CARE FINANCING Administration (HCFA) issued its anxiously anticipated SNF PPS regulation July 31, 2000, many in the SNF community were relieved to learn that HCFA was not proceeding with its proposed plan to increase the number of Resource Utilization Groups (RUGs) to 178 and redistribute payments.
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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