CMS-10246. Crosswalk of Changes between 60 and 30-day FR notices

Form	Item	New Item/Revised Item/Deleted Item	Why it was changed
Unit (Non-Therapist) Staff Activity Form	Position [“PPS Coordinator”]	Added a response category	Public comment
Unit (Non-Therapist) Staff Activity Form	Position [“Physician (Administrative Activities Only)”]	Item revised for clarity	Internal review
Therapy Staff Activity Form	Therapy Discipline [“Recreation Therapy”]	Added a response category	Public comment
Therapy Staff Activity Form	Column headings [“Individual Therapy/Assessment”, “Group #1”, …, “Group #6”]	Reordered responses	Internal review
Therapy Staff Activity Form	Column headings [“Time (in Minutes) Spent in Each Type of Activity”]	Heading revised for clarity	Public comment
Therapy Staff Activity Form	Column headings [“Time (in Minutes) Each Patient Spent in Your Therapy Sessions”]	Heading revised for clarity	Public comment
Patient Ancillary Service Log Form	Response category column headings	Reordered items for clarity	Public comment
Patient Ancillary Service Log Form	Response categories “CT for Bone Mineral Density”; “Epidurography”; “Mammography”; “3D Renderings”	Deleted	Public comment Internal review
Patient Ancillary Service Log Form	Response categories “CT for GI Series (Lower)” and “GI Series (Upper)” combined into single category with write-in for type	Items revised for greater generality	Public comment Internal review
Patient Ancillary Service Log Form	Response categories for “Ultrasound …” combined into three categories with write-in for type	Items revised for greater generality	Public comment Internal review
Patient Ancillary Service Log Form	Response categories for “Venography (Orbital or Extremity)” and “Venography (Other)” combined into single category	Items revised for greater generality	Public comment Internal review
Patient Ancillary Service Log Form	Response category “Bone Density (DEXA)” renamed to “Bone Densitometry”	Item revised for greater generality	Public comment Internal review
Patient Ancillary Service Log Form	Response categories for “Other Imaging …” (three categories with write-in for type)	Added response category	Public comment Internal review
Patient Ancillary Service Log Form	Response categories for “Other Complex Diagnostics …” (three categories with write-in for type)	Added response category	Public comment Internal review
Patient Ancillary Service Log Form	Response categories for “Complex Bowel Management …” categories with write-in for type	Added response category	Public Comment
Patient Ancillary Service Log Form	Response category for “Continuous Cardiac Monitoring/Telemetry”	Added response category	Public comment Internal review
Patient Ancillary Service Log Form	Response category for “Intermittent Bladder Catheterization”	Added response category	Public Comment
Patient Ancillary Service Log Form	Response category for “Multiple IV Antibiotic Administration”	Added response category	Internal review
Patient Ancillary Service Log Form	Response category for “Negative Pressure Wound Therapy”	Added response category	Public comment Internal review
Patient Ancillary Service Log Form	Response category for “Total Parenteral Nutrition”	Added response category	Public Comment
Patient Ancillary Service Log Form	Response category for “Ventilator Management (Weaning Only)”	Added response category	Public comment Internal review
Patient Ancillary Service Log Form	Other “Complex Treatments …” categories (3) with write-in for type	Added response category	Public comment Internal review
Non-Physician Consult Log Form	Response category for “Wound Care Nurse” renamed to “Wound/Infection Nurse”	Item revised for clarity	Internal review
Patient Tracking Form	Response item “Beneficiary Health Insurance Claim (HIC) Number”	Item expanded to 12 characters	Internal review
Acute Hospital Administration Interview Protocol	All items	Deleted/combined with Institution/Facility Administration Interview Protocol	Reduced provider burden
Institution/Facility Administration Interview Protocol	Question 1: Statement that “names of department heads/managers would be helpful but not necessary”	Item revised for clarity	Internal review
Institution/Facility Administration Interview Protocol	Question 2a: “Please identify the larger system and describe the nature of your relationship”	New item	Internal review
Institution/Facility Administration Interview Protocol	Question 2b: List of healthcare organizations with which facility has financial, or non-financial, relationships	New item	Internal review
Institution/Facility Administration Interview Protocol	Question 2c: How affiliations affect “scope of services, staffing patterns, and referral patterns”	New item	Public comment Internal review
Institution/Facility Administration Interview Protocol	Question 4: Description of any teaching programs	Item revised for clarity	Internal review
Institution/Facility Administration Interview Protocol	Question 7: Current processes for submitting IRF-PAI or MDS data	New item	Internal review
Home Health Agency Administration Interview Protocol	Question 1: Statement that “names of department heads/managers would be helpful but not necessary”	Item revised for clarity	Internal review
Home Health Agency Administration Interview Protocol	Question 2a: “Please identify the larger system and describe the nature of your relationship”	New item	Internal review
Home Health Agency Administration Interview Protocol	Question 2b: List of healthcare organizations with which facility has financial, or non-financial, relationships	New item	Internal review
Home Health Agency Administration Interview Protocol	Question 2c: How affiliations affect “scope of services, staffing patterns, and referral patterns”	New item	Public comment Internal review
Home Health Agency Administration Interview Protocol	Question 4: Description of any teaching programs	Item revised for clarity	Internal review
Home Health Agency Administration Interview Protocol	Question 7: Current processes for submitting OASIS data	New item	Internal review
Institution/Facility Financial Interview Protocol	Question 2: “Also, do you use your internal cost accounting system to automatically populate the Medicare Cost Report?”	New item	Public comment Internal review
Institution/Facility Financial Interview Protocol	Question 3: Fixed and variable cost percentage estimates	Item revised for clarity	Public comment Internal review
Institution/Facility Financial Interview Protocol	Question 4: “Please describe if there are any internal or external auditing of your Medicare Cost Reports and the nature of these audits”	New item	Internal review
Institution/Facility Financial Interview Protocol	Question 6a: Fixed cost percentage estimates, by cost center group, if available	Item revised for clarity	Public comment Internal review
Institution/Facility Financial Interview Protocol	Question 7a: Staffing payroll and other costs	Item revised for clarity	Internal review
Institution/Facility Financial Interview Protocol	Question 7b: Response items for Recreation Therapists	New item	Public comment Internal review
Institution/Facility Financial Interview Protocol	Question 7b: Response items for Speech/Language Pathologists	Item revised for clarity	Internal review
Institution/Facility Financial Interview Protocol	Question 8: Whether there are any non-standard cost centers or other issues with the Medicare Cost Report	New item	Internal review
Home Health Agency Financial Interview Protocol	Question 3: “Is there any internal or external auditing of your Medicare Cost Reports?”	Deleted item	Internal review
Home Health Agency Financial Interview Protocol	Question 4: Fixed and variable cost percentage estimates	Item revised for clarity	Internal review
Home Health Agency Financial Interview Protocol	Question 5: “Please describe if there are any internal or external auditing of your Medicare Cost Reports and the nature of these audits”	New item	Internal review
Home Health Agency Financial Interview Protocol	Question 6: Response items for Speech/Language Pathologists	Item revised for clarity	Internal review
Home Health Agency Financial Interview Protocol	Question 7a: Fixed cost percentage estimates, by cost center group, if available	Item revised for clarity	Public comment Internal review
Home Health Agency Financial Interview Protocol	Question 7a: Staffing payroll and other costs	Item revised for clarity	Internal review
Home Health Agency Financial Interview Protocol	Question 9: Whether there are any non-standard cost centers or other issues with the Medicare Cost Report	New item	Internal review
Acute Hospital Nursing Management Interview Protocol	All items	Deleted/combined with Institution/Facility Administration Interview Protocol	Internal review
Institution/Facility Nursing & Therapy Management Interview Protocol	Question 2a: Therapy staff day length	Item revised for clarity	Public comment Internal review
Institution/Facility Nursing & Therapy Management Interview Protocol	Question 2c: Nursing and therapy management staff providing supervision during direct patient care	Item revised for clarity	Internal review
Institution/Facility Nursing & Therapy Management Interview Protocol	Question 2d: Teaching/training programs	Item revised for clarity	Internal review
Institution/Facility Nursing & Therapy Management Interview Protocol	Question 2e: Response items for Recreation Therapists	New item	Public comment Internal review
Institution/Facility Nursing & Therapy Management Interview Protocol	Question 2e: Response items for Speech/Language Pathologists	Item revised for clarity	Internal review
Institution/Facility Nursing & Therapy Management Interview Protocol	Question 2f: Nursing staffing ratios	Item revised for clarity	Public comment
Institution/Facility Nursing & Therapy Management Interview Protocol	Question 2g: Therapy staffing ratios	New item	Public comment
Institution/Facility Nursing & Therapy Management Interview Protocol	Question 2h: Whether there are nursing staff assigned only to assessment data collection	New item	Public comment
Institution/Facility Nursing & Therapy Management Interview Protocol	Question 3: Whether facility uses an acuity scoring system	Item revised for clarity	Internal review
Institution/Facility Nursing & Therapy Management Interview Protocol	Question 5: Table providing response categories for ancillary services	Item revised to conform with other data collection instruments	Public comment Internal review
Home Health Agency Nursing & Therapy Management Interview Protocol	Question 1b: “Please distinguish between regular/salaried staff, agency employees paid per visit (“per diem”), and contract staff”	New item	Public comment Internal review
Home Health Agency Nursing & Therapy Management Interview Protocol	Question 2a: Nursing and therapy management staff providing supervision during direct patient care	Item revised for clarity	Internal review
Home Health Agency Nursing & Therapy Management Interview Protocol	Question 2b: Response category for agency versus contract staff	Item revised for clarity	Public comment Internal review
Home Health Agency Nursing & Therapy Management Interview Protocol	Question 2b: Response items for Speech/Language Pathologists	Item revised for clarity	Internal review
Home Health Agency Nursing & Therapy Management Interview Protocol	Question 5: Whether there are nursing staff assigned only to assessment data collection	New item	Internal review