RE: Easy Question

[k.karren]

Thanks Brenda…I didn’t sleep well last night …rethinking the advice I had been given.  I agree with your rationale…At the time I questioned the advice I was given.  So now what do I do….14 days have passed and I haven’t done an admission assessment (which is why I started down this twisted path!)     -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Brenda Chance Sent: Tuesday, November 25, 2003 7:33 AM To: [EMAIL PROTECTED] Subject: RE: Easy Question   Have you transmitted assessments for the last year?  If not, this is going to red flag the system.  Over a year ago with return anticipated is a long time to go without transmitting an obra assessment.    Is the medicare hotline the same as CMS and do they deal with OBRA and not just PPS.  I would be very cautious with this information.  I have studied it from every angle and talked to some of the best in the business.  If the resident has resided in a noncertified bed for a year, then I would restart the obra schedule. If you restart transmitting and do not follow obra guidelines, then you are going to have problems.   Technically, this resident is a new admission in your certified beds.  This would be the same as sending a resident to the hospital a year ago with a discharge of return anticipated, the resident left the hospital and went home, to another facility, etc.  A year later, he returned to your facility.  Would you not restart the OBRA schedule at that point?      Brenda W. Chance, RN, RAC-C MDS Coordinator     CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Monday, November 24, 2003 9:23 PM To: [EMAIL PROTECTED] Subject: RE: Easy Question   Noncertified at my facility means not certified for Medicare or Medicaid……the only assessments transmitted are those in medicare A beds.    I finally called medicare helpline and was told that since resident had been discharged from medicare A over a year ago- return anticipated 1)       I should do a 9 (reentry) 2)       Then a 5 (medicare readmission or return assessment ) as my 5 day 3)       Continue on with 14 . 30, 60 day etc Surprising that this resident didn’t qualify for significant change either….that would have probably made things less complicated.   Just curious does medicare keep track of the number of times we call the hotline ? ….; >   I jokingly asked the hotline when I called,  he laughed but then didn’t give me a straight answer….now I am getting paranoid….this job can do strange things to a person!!!!   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of MDS Lady Sent: Monday, November 24, 2003 10:01 AM To: [EMAIL PROTECTED] Subject: RE: Easy Question   The reason you are getting conflicting answers is that noncertified means different things to different people.   Most people think of noncertified as not certified for Medicare....but actually noncertified means not certified for Medicare and/or Medicaid. This was brought to the fore front with the SUB_REQ requirements.   Some states require an assessment to be done and transmitted even on true non-certified beds but require a discharge tracking if the resident is transferred to the certified wing of the facility.....you treat them as a brand new resident.   So do you mean that this bed was not certified for Medicare? or do you mean it is certified for neither Medicare and/or Medicaid?       [EMAIL PROTECTED] wrote: Thanks for the input…yes the resident was in a noncertified bed and I had done an annual assessment 6 weeks ago (which was not transmitted).  You are right this is SQUIRRELY!!!   ; >   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Brenda Chance Sent: Monday, November 24, 2003 7:45 AM To: [EMAIL PROTECTED] Subject: RE: Easy Question   I also work with residents who are in noncertified beds.  If this resident has been in a noncertified bed, then you have not been transmitting their data to the state.  You will need to do a full admission comprehensive assessment.  Follow the OBRA schedule as well as the PPS schedule.  I know this sounds squirrely but this is what is mandated.  You will also need to do a new section AB/AC since this is an admission assessment.   Brenda W. Chance, RN, RAC-C MDS Coordinator     CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Sunday, November 23, 2003 8:46 PM To: [EMAIL PROTECTED] Subject: Easy Question   This is probably an easy question but I have a resident that has been private pay and in a noncertified bed…..is now  part A due to qualifiying hospital stay and is in a certified bed….I have done the 5 day assessment but do I need to do an admission with the 14 day assessment…or is the 14 day alone enough…..last comprehensive was done about 6 weeks ago….thanks in advance. Do you Yahoo!? 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