Tag: 48 RUG grouper system

Being a reimbursement and operational specialist, I feel it has become very important to keep everyone informed of the Illinois Medicare-Medicaid Alignment Initiative that has been happening in long-term care. Like many, we have experienced Medicaid payment changes throughout the years and one thing that we have learned is that we have to be aware

Illinois Medicaid is scheduled to move to a new payment system in January 2014 or before. The new methodology uses a 48 RUG grouper system. The 48 Medicaid RUG categories fall into seven major groupings. Rehabilitation: This is a new category for long term care that requires a minimum of skilled therapy days and minutes