{"product_id":"guide-to-the-resource-utilization-anna-may-xu-9798550334942","title":"Guide to the Resource Utilization Group (RUG) payment system: Minimum Data Set (MDS) assessments for Texas Medicaid reimbursements","description":"\u003cp\u003eThis 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.\u003c\/p\u003e\u003cp\u003eLearn 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.\u003c\/p\u003e\u003cp\u003eNote: 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.\u003c\/p\u003e\u003cbr\u003e\u003cbr\u003e\u003cb\u003eAuthor:\u003c\/b\u003e Anna May Xu\u003cbr\u003e\u003cb\u003eISBN-10:\u003c\/b\u003e 8550334944\u003cbr\u003e\u003cb\u003eISBN-13:\u003c\/b\u003e 9798550334942\u003cbr\u003e\u003cb\u003ePublisher:\u003c\/b\u003e Independently Published\u003cbr\u003e\u003cb\u003eLanguage:\u003c\/b\u003e English\u003cbr\u003e\u003cb\u003ePublished:\u003c\/b\u003e 11\/26\/2020\u003cbr\u003e\u003cb\u003ePages:\u003c\/b\u003e 260\u003cbr\u003e\u003cb\u003eFormat:\u003c\/b\u003e Paperback\u003cbr\u003e\u003cb\u003eWeight:\u003c\/b\u003e 1.15lbs\u003cbr\u003e\u003cb\u003eSize:\u003c\/b\u003e 10.00h x 7.99w x 0.55d","brand":"Anna May Xu","offers":[{"title":"Paperback","offer_id":44652454772991,"sku":"9798550334942","price":16.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0662\/2982\/9887\/files\/img_d11c5c78-ddd9-44ba-982a-5fc24f6ce862.jpg?v=1704216181","url":"https:\/\/www.whiterainbookhouse.com\/products\/guide-to-the-resource-utilization-anna-may-xu-9798550334942","provider":"WR Book House","version":"1.0","type":"link"}