Services > RUG IV Analysis/Planning

Impact on RUG IV Changes

Long term care leaders need to understand the impact of the changes brought about by RUG IV. With those changes come opportunities to improve upon care provided to residents. Facilities can be successful in meeting CMS objectives by improving quality of care through the development of their clinical programming and understanding of RUG IV clinical indicators and the impact on Medicare reimbursement. Don’t lose revenue due to lack of planning. It is time to take a detailed look at the 66 RUG IV Grouper categories. Let us help you strategize:

• Medicare coverage criteria
• Skilled care as it relates to RUG IV
• Strategies for Rehab case management
• Assessment Reference Date (ARD) Management coordination between Rehab and MDS
• Impact of new Activities of Daily Living (ADL) coding and scoring on RUG IV reimbursement
• Understand the In’s and Outs’ of Short-Stay Assessment for Rehab patients
• Skilled Restorative-Part A services for qualifying medical necessity residents