Re: Quick question for the group-return assessment- try again

[carol maher]

I think that an 0/5 is required in this scenario.  If the resident was on Medicare when he left for the hospital and on Medicare again when he returns then the first assessment done (besides tracking form) is the Medicare REadmission/REturn Assessment.  See page 2-31.  I think that is shows the continuation of a Medicare stay.  IF the first assessment done after readmission is an 0/1 it shows that the resident was not on Medicare prior to discharge.  Sometimes a resident will have a short Medicare stay, have a 5 day done, Medicare Discontinued and then returns to the hospital--the next assessment 0/1.  If you don't complete a 0/5 on readmission , I think it shows that Medicare coverage was ended at the SNF before the resident was discharged to the hospital.  I would insist that the software make that coding possible--if your facility backs you up and makes it a priority to the software company , it should be done.  The software company is not in compliance, IMHO.   ----- Original Message ----- From: dfrias To: [EMAIL PROTECTED] Sent: Wednesday, December 03, 2003 7:03 AM Subject: Re: Quick question for the group-return assessment- try again 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 ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] 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.        On Tue, 2 Dec 2003 23:19:49 -0700 "dfrias" <[EMAIL PROTECTED]> writes: 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