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Hi Jeanne,
I am no longer with the facility as I moved out of
state. However, I will be going back in the next weeks to help out as the
person that I trained quit!
Soooo....I got a call last night with the scenerio
I presented. I will attempt to take it further ...and perhaps an easier
read.
* Resident was on qualified MC stay at the facility.
* Resident soured, sent out to the hospital.
Facility completed a 5 day assessment 0/1 (
I think) or 1/1,
* Facility completed a return anticipated the day
the resident was sent out.
* Two days later Resident returned and facility
completed re-entry assessment.
* The question is do they complete 0/5 - Return
Assessement?
or
* Can another 0/1 or if not completed 1/1 initial
be completed?
* It boils down to is a 0/5 assessment mandated or
can another 5 day assessment 0/1 be completed?
I gave them my answer and I told them what I have
done since the inception of PPS but I want additional feedback.
The Nose
----- Original Message -----
Sent: Wednesday, December 03, 2003 5:50
AM
Subject: Re: Quick question for the
group-return assessment
Hi Deb, I am a bit confused by your question. If they d/cd prior to
initial why was a return anticipated discharge and re-enty
completed. When this resident returned they only needed coding of 1
filled in for AA8a. A re-enty form would not be needed. Ok now for the
second part of your question. If they went out Medicare and you had completed
a PPS assessment for payment only purposes for the few days they were in the
facility then when they returned you would code a 1/5 but if they weren't on
Medicare when they went out but had a 3 day qualifying stay within 30 days you
would code a 1/1 if you were picking them up. If they haven't had a 3 day stay
as I stated and don't have a daily skilled service then you
would only complete AA8a as a 1 and nothing in AA8b. The RAI manual is
actually the best source for this question but if your want the info about the
3 day stay you can find it in the new manuals on the cms site. I don't
have an actual page for you because the manual set up is changed but
they are actually arranged nicely to find sources. Hope this helps.
Jeanne.
To the group....
Can a resident that has been D/C'd (prior to
initial assessment) to the hospital with a return anticipated completed
and re-entry completed after the 2 day hospital stay....begin with a 5-day assessment once again or must it only
be a return assessment...or will either one due.
Other than the RAI Manual... please
provide regulation sites.
The Nose
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