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MEDICARE RUGS IV/66 GROUPER READMISSION SCREENING FORM ASSESSMENT INFORMATION Admission Readmission CSA Resident Name CPFA SCP QA Quarterly Comprehensive Assessment Reference Date RESIDENT INFORMATION
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What is rug 66 grouper?
RUG 66 Grouper is a tool used in the healthcare industry, specifically for determining the reimbursement rates for skilled nursing facilities (SNFs) under the Medicare program. It categorizes patients into specific Resource Utilization Groups (RUGs) based on their clinical characteristics and service needs.
Who is required to file rug 66 grouper?
Skilled nursing facilities (SNFs) that provide services to Medicare beneficiaries are required to file the RUG 66 Grouper as part of their billing process for reimbursement from Medicare.
How to fill out rug 66 grouper?
To fill out the RUG 66 Grouper, SNFs must collect patient assessment data, often through tools such as the Minimum Data Set (MDS), and then input this data into the grouper software or system that calculates the appropriate RUG categories based on the patient's needs and characteristics.
What is the purpose of rug 66 grouper?
The purpose of the RUG 66 Grouper is to establish a systematic and standardized method for classifying patients in skilled nursing facilities, which in turn determines the level of reimbursement that SNFs receive from Medicare based on the resources required to care for those patients.
What information must be reported on rug 66 grouper?
The information required to be reported on the RUG 66 Grouper includes patient diagnosis, functional status, and service needs, which are typically gathered from the Minimum Data Set (MDS) assessments and other clinical evaluations.
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