RUG-IV Directory of Fact Sheets
What is Case Mix?
Minnesota Case Mix is a system that classifies residents into distinct groups, called Resource Utilization Groups (RUGS), based on the resident's condition and the care the resident receives. These groups determine the daily rate the facility charges for the resident's care. A value is assigned to each classification, which is then used to calculate the daily rate of payment. The following is a list of fact sheets available related to Minnesota Case Mix Classification.
The fact sheets are designed around individual topics and RUG categories and can be provided individually or as a package of several based on the needs of individual resident. As an example a new admission with a case mix classification of RAB might be provided with a package of fact sheets that include: "What is Case Mix?", "Who to call for Case Mix Information?", "Case Mix Questions and Answers”, Requesting a Reconsideration," "What is Rehabilitation?” and "What is an ADL Score?". Another example would be a long time resident whose case mix classification changed from a PA1 to CA1 due to an active diagnosis of pneumonia might be provided with the fact sheets "What is Clinically Complex?" and "Requesting a Reconsideration?". Residents, resident representatives and families may be directed to the fact sheets on this page or may be given hard copies.
| Directory | Printable Version of the Case Mix Review Fact Sheet Directory (pdf:225k/1page) |
| Fact sheet #1 | What is Case Mix? (pdf:200k/1 page) |
| Fact sheet #2 | Who to call for Case Mix Information? (pdf:218k/1 page) |
| Fact sheet #3 | Case Mix Questions & Answers (pdf:204k/1 page) |
| Fact sheet #4 | Requesting a Reconsideration (pdf:220k/1 page) |
| Fact sheet #5 | What is Extensive Services? (pdf:198k/1 page) |
| Fact sheet #6 | What is Rehabilitation? (pdf:207k/1 page) |
| Fact sheet #7 | What is Special Care High? (pdf:208k/1 page) |
| Fact sheet #8 | What is Special Care Low? (pdf:226k/1 page) |
| Fact sheet #9 | What is Clinically Complex? (pdf:234k/1 page) |
| Fact sheet #10 | What is Behavioral Symptoms and Cognitive Performance? (pdf:207k/1 page) |
| Fact sheet #11 | What is Reduced Physical Function? (pdf:316k/1 page) |
| Fact sheet #12 | What are Restorative Nursing Programs? (pdf:207k/1 page) |
| Fact sheet #13 | What Does Short Stay Rate Mean? (pdf:277k/1 page) |
| Fact sheet #14 | What is an ADL Score? (pdf:268k/2 pages) |
| Fact sheet #15 | Determining Cognitive Impairment (pdf:197k/1 page) |
| Fact sheet #16 | Signs of Depression (pdf:198k/1 page) |
Contact us:
US Mail
Case Mix Review
PO Box 64938
St. Paul, MN 55164-0938
Phone: 651-201-4301
Fax: 651-215-9691
Web site:
http://www.health.state.mn.us/divs/fpc/profinfo/cms/casemix.html
E-mail:
Health.fpc-CMR@state.mn.us
To view the PDF files, you will need
Adobe Acrobat Reader (free download from Adobe's website).