Harmony Healthcare International (HHI) Blog

Medicare Part A Required SNF PPS Assessments: Back to Basics (Part 3 of 3)

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Nurse filling out PPS AssessmentAs a final Blog on the SNF Assessments series, here is an overview of the Discharge Assessments.  There are 3 Assessments to address: 

  1. OBRA Discharge Assessment – Return Anticipated 
  1. OBRA Discharge Assessment – Return Not Anticipated 
  1. Medicare-Required Part A PPS Discharge Assessment 

Details include: 

  1. OBRA Discharge Assessment – Return Anticipated 
  • The DRA (Discharge Return Anticipated Assessment) is completed with a discharge that is temporary with return anticipated.  This assessment maybe combined with NPE (Nursing Home End of Medicare Stay). 
  1. OBRA Discharge Assessment – Return Not Anticipated 
  • Complete (DRNA) Discharge Return Not Anticipated with final discharge in which the resident is not anticipated to return.  This assessment may be combined with NPE (Nursing Home End of Medicare Stay).  The discharge assessment is complete within 14 days. 
  1. Medicare Part A PPS Discharge Assessment 

Generally completed when one of these is true: 

  • Medicare Part A stay ends, but the resident remains in the facility.
  • The resident is physically discharged on the same day or within one day of the end of the Medicare Part A stay.
  • A Medicare Part A PPS Discharge Assessment is not required if the resident dies on the same day as the end date of the most recent Medicare stay.
  • Standalone Medicare-Required Discharge Assessments do not impact payment and are intended to collect the standardized data to calculate quality measures (see the Report to Quality Improvement and Evaluation System [QIES] Assessment Submission and Processing [ASAP] Systems Section for more information).

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Topics: PPS

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