RUG Levels: How They Are Determined and Their Impact on Nursing Home Payments
RUG levels are determined using the Resident Assessment Instrument (RAI). This tool assesses a patient’s strengths, weaknesses, care needs, and treatment preferences. Other evaluation methods may also be employed to enhance accuracy and ensure effective care planning tailored to each patient’s requirements. Each RUG level correlates with specific payment rates from Medicare and Medicaid. Higher … Read more