1. What is the PPS 100-Day Period?

The PPS (Prospective Payment System) 100-Day period is a timeframe used in healthcare reimbursement, particularly for skilled nursing facilities. It begins on the date of admission and extends for 100 days.

2. How Does the Calculator Work?

The calculator uses a simple date calculation:

Where:

• Admission Date — The date when the patient was admitted
• 100 days — The standard PPS period duration

Explanation: The calculation adds exactly 100 calendar days to the admission date to determine the end of the PPS period.

3. Importance of PPS Calculation

Details: Accurate calculation of the PPS 100-day period is crucial for healthcare providers to ensure proper billing and reimbursement under Medicare's Skilled Nursing Facility Prospective Payment System.

4. Using the Calculator

Tips: Enter the admission date in the format YYYY-MM-DD or use the date picker. The calculator will automatically compute the end date of the 100-day period.

5. Frequently Asked Questions (FAQ)

Q1: What happens after the 100-day period?
A: After 100 days, Medicare Part A coverage for skilled nursing facility care typically ends, though some exceptions may apply.

Q2: Are weekends and holidays counted in the 100 days?
A: Yes, all calendar days are counted in the 100-day period calculation.

Q3: What if the patient is discharged before 100 days?
A: The PPS period ends with discharge, but the 100-day clock continues if the patient is readmitted within 30 days.

Q4: How is this different from the Medicare benefit period?
A: The Medicare benefit period is different and begins when the patient is hospitalized and ends after 60 consecutive days without hospital or SNF care.

Q5: Can the 100-day period be extended?
A: No, the 100-day period is fixed, though not all patients use all 100 days of coverage.