Re: MDS PPS question

[KDeniseSRN]

Mary Jo,  I believe the RAI Manual states that a #5 in AA8b is for a Readmission/return assessment. This resident is neither to your facility, therefore I believe a #1 for a 5 day assessment should be completed by your facility. It is confusing because they are still in their 100 day benefit period, but you also have to look at the fact the resident is new to your facility. I would code 11, unless you do the initial admission assessment with the 14-day MDS. I have had a Medicare A resident admitted to my facility that was receiving Med A benefits at another skilled nursing Facility.  she was on day 47 of her stay at the other facility and has had a 5-Day , 14-day, and 30 day MDS assessment completed there. She is not a re-admission to my facility, so I am a little confused about what assessment coding I should use.  should I start over with a 5-day and Admission Assessment? >