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Provider Manual

Assigned RUG Levels

Last Updated on November 15, 2019

For claim submission, Security Health recognizes the RUG assigned by naviHealth.   The HIPPS code 60 is also required on the claim to ensure proper payment and accurate encounter data submission to CMS. The RUG level assigned by naviHealth may differ from the RUG level you obtain from your MDS.  In the event you submit a different RUG than what was assigned by naviHealth, your claim will be denied.