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you hello my name is Judy coulis a nurse at a Mac I'm here today to talk about resource utilization groups or rugs rugs were developed by the Center for Medicare and Medicaid also known as CMS rugs are used to set payment for medicare residents in skilled nursing facilities and swingbed hospitals rugs are also increasingly being used by many states for their nursing home medicaid reimbursement payment systems the premise behind the rug system is that different care needs and services worn different levels of reimbursement some residents require total assistance with their activities of daily living and have complex care needs such as IVs feeding tubes pressure ulcers or infections requiring strict isolation just to name a few other residents may require less ADL's but may receive physical therapy occupational therapy speech therapy and even restorative nursing services depending on the care needs of a particular resident the staff time will be different this is known as resource utiliz


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