5. PPS Assessment Timing, Medicare
Days, Modes of Therapy Impacting PPS
Minutes
admission date - answer date a person enters the facility and is admitted as a resident
resident - answer person who is admitted to a SNF or LTC facility is called a
date of admission - answer When does Medicare begin SNF coverage?
discharge date - answer date a resident leaves the facility
last covered date - answer date the resident's Medicare Part A stay ends but the
resident remains in the facility
on last covered date - answer When is PT discharge done?
day after last covered day - answer When is the physical discharge make for patients
leaving the facility?
no - answerDo facilities charge for day of discharge?
assessment reference window - answeran observation or look-back period of 7 days
assessment reference date (ARD) - answerlast day of the 7-day observation or look-
back period
periodic PPS assessments - answerWhat is geared to help capture changes in status to
accurately reflect resident's clinical needs?
7 day
14 day
30 day
60 day
90 day
discharge - answerWhen are scheduled Medicare assessments?
leave of absence (LOA) - answerWhat occurs when a resident has a:
1. Temporary home visit of at least one night
2. Therapeutic leave of at least one night
Days, Modes of Therapy Impacting PPS
Minutes
admission date - answer date a person enters the facility and is admitted as a resident
resident - answer person who is admitted to a SNF or LTC facility is called a
date of admission - answer When does Medicare begin SNF coverage?
discharge date - answer date a resident leaves the facility
last covered date - answer date the resident's Medicare Part A stay ends but the
resident remains in the facility
on last covered date - answer When is PT discharge done?
day after last covered day - answer When is the physical discharge make for patients
leaving the facility?
no - answerDo facilities charge for day of discharge?
assessment reference window - answeran observation or look-back period of 7 days
assessment reference date (ARD) - answerlast day of the 7-day observation or look-
back period
periodic PPS assessments - answerWhat is geared to help capture changes in status to
accurately reflect resident's clinical needs?
7 day
14 day
30 day
60 day
90 day
discharge - answerWhen are scheduled Medicare assessments?
leave of absence (LOA) - answerWhat occurs when a resident has a:
1. Temporary home visit of at least one night
2. Therapeutic leave of at least one night
