Resource Utilization Group (RUG) Statistics

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Resource Utilization Group (RUG) statistics are reported for a facility's five most recent cost reporting periods.  The most current status of each period is reported (i.e. as submitted, settled, reopened, etc.).  Note that some reporting periods may be for other than twelve months.  A "view" button is provided to link the corresponding cost report for each period.

NOTE:  RUG statistics are reported for Medicare patients only.

Patient days by RUG category are from worksheet S-7.  Percentages of total are calculated.

Overview

The Balanced Budget Act of 1997 mandates the implementation of a per diem prospective payment system (PPS) for skilled nursing facilities (SNFs) covering all costs (routine, ancillary and capital) related to the services furnished to beneficiaries under Part A of the Medicare program. Major elements of the system include: