Croswalk

2017 (old version)

2018 (new version)

Type of change

Reason for change

Burden Change

Require scheduled Prospective Payment System (PPS) assessments (NP) , unscheduled PPS assessments (Change of Therapy (COT) and End of Therapy (EOT) Other Medicare Related Assessment (OMRA) (NO/SO), and the optional Start of Therapy (SOT) OMRA (NS) as well as the COT/EOT combined with discharge (NOD) and the SOT combined with discharge (NSD).

Require only two scheduled assessments (as opposed to the current requirement for five scheduled assessments) for each SNF stay: A 5-day scheduled PPS assessment (Item Set NP) and a discharge assessment (Item Set NPE).

Revision

As part of the finalized new SNF Patient Driven Payment Model (PDPM) found in CMS-1696-F

Burden will be decreased

PPS discharge item set has 125 items.

Add 18 items to the PPS discharge assessment.

Revision

To calculate and monitor the total amount of therapy provided during a SNF stay.

Burden will increase; however, this increase is more than offset by the significant decrease in burden associated with the item above.