RUG Audits
- Resource Utilization Group (“RUG”) audits officially replaced TILE audits in 2008
- However, after two years of delay, RUG audits actually only began in the fall of 2010
- RUG audits are conducted by HHSC-OIG’s Utilization Review (“UR”) teams
- UR reviewers examine facility records on-site and look retroactively back to October 9, 2008
-Note that MDS 2.0 was the MDS version in effect when HHSC converted from TILES to RUGS in 2008; however, MDS 3.0 (the current version) went into effect in October 2010
Please see full publication below for more information.