NP - PPS 5 Day
134 values shown.
A0050 · Type of RecordxappliesOpen item
A0100 · Facility Provider NumbersxappliesOpen item
A0200 · Type of ProviderxappliesOpen item
A0310 · Type of AssessmentxappliesOpen item
A0410 · Unit Certification or Licensure DesignationxappliesOpen item
A0500 · Legal Name of ResidentxappliesOpen item
A0600 · Social Security and Medicare NumbersxappliesOpen item
A0700 · Medicaid NumberxappliesOpen item
A0810 · SexxappliesOpen item
A0900 · Birth DatexappliesOpen item
A1005 · EthnicityxappliesOpen item
A1010 · RacexappliesOpen item
A1110 · LanguagexappliesOpen item
A1200 · Marital StatusxappliesOpen item
A1255 · TransportationxappliesOpen item
A1300 · Optional Resident ItemsxappliesOpen item
A1600 · Entry DatexappliesOpen item
A1700 · Type of EntryxappliesOpen item
A1805 · Entered FromxappliesOpen item
A1900 · Admission Date (Date this episode of care in this facilityxappliesOpen item
A2000 · Discharge DatexappliesOpen item
A2105 · Discharge StatusxappliesOpen item
A2121 · Provision of Current Reconciled Medication List to Subsequent ProviderxappliesOpen item
A2122 · Route of Current Reconciled Medication ListxappliesOpen item
A2123 · Provision of Current Reconciled Medication List to Resident, Family, or CaregiverxappliesOpen item
A2124 · Route of Current Reconciled Medication List TransmissionxappliesOpen item
A2300 · Assessment Reference DatexappliesOpen item
A2400 · Medicare StayxappliesOpen item
B0100 · ComatosexappliesOpen item
B0200 · HearingxappliesOpen item
B0300 · Hearing AidxappliesOpen item
B0600 · Speech ClarityxappliesOpen item
B0700 · Makes Self UnderstoodxappliesOpen item
B0800 · Ability to Understand OthersxappliesOpen item
B1000 · VisionxappliesOpen item
B1200 · Corrective LensesxappliesOpen item
B1300 · Health LiteracyxappliesOpen item
C0100 · Should Brief Interview for Mental Status Be Conducted?xappliesOpen item
C0200 · Repetition of Three WordsxappliesOpen item
C0300 · Temporal Orientation (Orientation to Year, Month,xappliesOpen item
C0400 · RecallxappliesOpen item
C0500 · BIMS Summary ScorexappliesOpen item
C0600 · Should the Staff Assessment for Mental Status Be Conducted?xappliesOpen item
C0700 · Short-term Memory OKxappliesOpen item
C0800 · Long-term Memory OKxappliesOpen item
C0900 · Memory/Recall AbilityxappliesOpen item
C1000 · Cognitive Skills for Daily Decision MakingxappliesOpen item
C1310 · Signs and Symptoms of Delirium (from CAM©)xappliesOpen item
D0100 · Should Resident Mood Interview Be Conducted?xappliesOpen item
D0160 · Total Severity ScorexappliesOpen item
D0600 · Total Severity ScorexappliesOpen item
D0700 · Social IsolationxappliesOpen item
E0100 · Potential Indicators of PsychosisxappliesOpen item
E0200 · Behavioral Symptom—Presence & FrequencyxappliesOpen item
E0300 · Overall Presence of Behavioral Symptomssstate optionalOpen item
E0500 · Impact on Residentsstate optionalOpen item
E0600 · Impact on Otherssstate optionalOpen item
E0800 · Rejection of Care—Presence & FrequencyxappliesOpen item
E0900 · Wandering—Presence & FrequencyxappliesOpen item
E1000 · Wandering—Impactsstate optionalOpen item
E1100 · Change in Behavior or Other Symptomssstate optionalOpen item
F0300 · Should Interview for Daily and Activity Preferences Besstate optionalOpen item
F0400 · Interview for Daily Preferencessstate optionalOpen item
F0500 · Interview for Activity Preferencessstate optionalOpen item
F0600 · Daily and Activity Preferences Primary Respondentsstate optionalOpen item
F0700 · Should the Staff Assessment of Daily and Activitysstate optionalOpen item
F0800 · Staff Assessment of Daily and Activity Preferencessstate optionalOpen item
GG0115 · Functional Limitation in Range of MotionxappliesOpen item
GG0120 · Mobility Devicessstate optionalOpen item
GG0130 · Self-Care and GG0170: Mobility subsection addedxappliesOpen item
H0100 · AppliancesxappliesOpen item
H0200 · Urinary Toileting ProgramxappliesOpen item
H0300 · Urinary ContinencexappliesOpen item
H0400 · Bowel ContinencexappliesOpen item
H0500 · Bowel Toileting ProgramxappliesOpen item
H0600 · Bowel Patternssstate optionalOpen item
I0020 · Indicate the resident’s primary medical condition categoryxappliesOpen item
J0100 · Pain ManagementxappliesOpen item
J0200 · Should Pain Assessment Interview Be Conducted?xappliesOpen item
J0300 · Pain PresencexappliesOpen item
J0410 · Pain FrequencyxappliesOpen item
J0510 · Pain Effect on SleepxappliesOpen item
J0520 · Pain Interference with Therapy ActivitiesxappliesOpen item
J0530 · Pain Interference with Day-to-Day ActivitiesxappliesOpen item
J0600 · Pain IntensityxappliesOpen item
J0700 · Should the Staff Assessment for Pain be Conducted?xappliesOpen item
J0800 · Indicators of PainxappliesOpen item
J0850 · Frequency of Indicator of Pain or Possible PainxappliesOpen item
J1100 · Shortness of Breath (dyspnea)xappliesOpen item
J1300 · Current Tobacco Usesstate optionalOpen item
J1400 · PrognosisxappliesOpen item
J1550 · Problem ConditionsxappliesOpen item
J1700 · Fall History on Admission/Entry or ReentryxappliesOpen item
J1800 · Any Falls Since Admission/Entry or Reentry or PriorxappliesOpen item
J1900 · Number of Falls Since Admission/Entry or Reentry or PriorxappliesOpen item
J2000 · Prior SurgeryxappliesOpen item
J2100 · Recent Surgery Requiring Active SNF CarexappliesOpen item
K0100 · Swallowing DisorderxappliesOpen item
K0200 · Height and WeightxappliesOpen item
K0300 · Weight LossxappliesOpen item
K0310 · Weight GainxappliesOpen item
L0200 · DentalxappliesOpen item
M0100 · Determination of Pressure Ulcer/Injury RiskxappliesOpen item
M0150 · Risk of Pressure Ulcers/InjuriesxappliesOpen item
M0210 · Unhealed Pressure Ulcers/InjuriesxappliesOpen item
M1030 · Number of Venous and Arterial UlcersxappliesOpen item
M1040 · Other Ulcers, Wounds and Skin ProblemsxappliesOpen item
M1200 · Skin and Ulcer/Injury TreatmentsxappliesOpen item
N0300 · InjectionsxappliesOpen item
N0350 · InsulinxappliesOpen item
N2001 · Drug Regimen ReviewxappliesOpen item
N2003 · Medication Follow-upxappliesOpen item
N2005 · Medication InterventionxappliesOpen item
O0250 · Influenza VaccinexappliesOpen item
O0300 · Pneumococcal VaccinexappliesOpen item
O0350 · Resident’s COVID-19 vaccination is up to datexappliesOpen item
O0430 · Distinct Calendar Days of Part A TherapyxappliesOpen item
O0500 · Restorative Nursing ProgramsxappliesOpen item
P0100 · Physical RestraintsxappliesOpen item
Q0110 · Participation in Assessment and Goal SettingxappliesOpen item
Q0310 · Resident’s Overall GoalxappliesOpen item
Q0400 · Discharge PlanxappliesOpen item
Q0490 · Resident’s Documented Preference to Avoid Being AskedxappliesOpen item
Q0500 · Return to CommunityxappliesOpen item
Q0550 · Resident’s Preference to Avoid Being Asked QuestionxappliesOpen item
Q0610 · ReferralxappliesOpen item
Q0620 · Reason Referral to Local Contact Agency (LCA) NotxappliesOpen item
V0100 · Items From the Most Recent Prior OBRA or Scheduledsstate optionalOpen item
X1100 · RN Assessment Coordinator Attestation of Completion-not submitted to iQIESOpen item
Z0100 · Medicare Part A BillingxappliesOpen item
Z0200 · State Medicaid Billing (if required by the state)xappliesOpen item
Z0250 · Alternate State Medicaid Billing (if required by the state)xappliesOpen item
Z0300 · Insurance BillingxappliesOpen item
Z0400 · Signatures of Persons Completing the Assessment or Entry/Death Reporting-not submitted to iQIESOpen item