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SNF PPS and RUG-IV SNF PPS Assessments and …

SNF PPS and RUG-IVSNF PPS Assessments and PoliciesSeptember 1, 2010 Minimum Data Set (MDS) PPS & RUG-IV2 Agenda SNF PPS Assessments SNF Part A PoliciesoEarly assessmentoLate assessmentoMissed assessmentoMedicare Short Stay ExamplesPPS AssessmentsMinimum Data Set (MDS) PPS & RUG-IV4 PPS Assessments1 OBRA, PPS, and Tracking Records SNFsoAll OBRA requirements oPPS requirementsoTracking records Swing BedsoDischarge assessmentsoPPS requirementsoTracking recordsMinimum Data Set (MDS) PPS & RUG-IV5 PPS Assessments2 Scheduled A0310Bo5-dayo14-dayo30-dayo60-dayo90-day oReadmission/returnMinimum Data Set (MDS) PPS & RUG-IV6 PPS Assessments3 Scheduled A0310 BoPredetermined assessment window and grace days May not combine scheduled assessmentsoOne scheduled may notreplace another scheduledoMust be completed sequentiallyoPredetermined payments days, which may be impacted by unscheduled assessmentMinim

SNF PPS and RUG-IV SNF PPS Assessments and Policies September 1, 2010

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