This is your guide to Texas's Medicaid payment system for nursing homes. When newly admitted long-term care residents first arrive into a skilled nursing facility, they'll get an assessment from the staff. Each item or element on the assessment is coded into the minimum data set (MDS). A subset of the MDS directly affects the resource utilization group (RUG) calculation, which sorts the resident into one of 44 different RUG groups. Each group gets different reimbursement payments from Medicaid, so it's important to get that ...
Read More
This is your guide to Texas's Medicaid payment system for nursing homes. When newly admitted long-term care residents first arrive into a skilled nursing facility, they'll get an assessment from the staff. Each item or element on the assessment is coded into the minimum data set (MDS). A subset of the MDS directly affects the resource utilization group (RUG) calculation, which sorts the resident into one of 44 different RUG groups. Each group gets different reimbursement payments from Medicaid, so it's important to get that right. Learn the state nursing home regulations and laws for Medicaid. This book covers exactly which MDS items affect RUG payment, the 7 major RUG group categories, and medical necessity. There's an item-by-item guide to filling out the assessment form, both for older adults and children. It also goes over what happens during an Office of the Inspector General (OIG) utilization review and how to fill in an MDS correction form. Note: Texas uses RUG-III 34 group model, which is based on the Minimum Data Set (MDS) 3.0. They also calculate the RUG score with the index-maximizing method instead of the hierarchical method from the federal CMS.
Read Less
Add this copy of Guide to the Resource Utilization Group (RUG) payment to cart. $13.68, new condition, Sold by Ingram Customer Returns Center rated 5.0 out of 5 stars, ships from NV, USA, published 2020 by Independently Published.
Add this copy of Guide to the Resource Utilization Group (RUG) payment to cart. $19.41, like new condition, Sold by GreatBookPrices rated 4.0 out of 5 stars, ships from Columbia, MD, UNITED STATES, published 2020 by Independently Published.
Choose your shipping method in Checkout. Costs may vary based on destination.
Seller's Description:
Fine. Trade paperback (US). Glued binding. 260 p. In Stock. 100% Money Back Guarantee. Brand New, Perfect Condition, allow 4-14 business days for standard shipping. To Alaska, Hawaii, U.S. protectorate, P.O. box, and APO/FPO addresses allow 4-28 business days for Standard shipping. No expedited shipping. All orders placed with expedited shipping will be cancelled. Over 3, 000, 000 happy customers.
Add this copy of Guide to the Resource Utilization Group (RUG) payment to cart. $19.61, new condition, Sold by GreatBookPrices rated 4.0 out of 5 stars, ships from Columbia, MD, UNITED STATES, published 2020 by Independently Published.
Choose your shipping method in Checkout. Costs may vary based on destination.
Seller's Description:
New. Trade paperback (US). Glued binding. 260 p. In Stock. 100% Money Back Guarantee. Brand New, Perfect Condition, allow 4-14 business days for standard shipping. To Alaska, Hawaii, U.S. protectorate, P.O. box, and APO/FPO addresses allow 4-28 business days for Standard shipping. No expedited shipping. All orders placed with expedited shipping will be cancelled. Over 3, 000, 000 happy customers.