I had a resident who has been in and out of the hospital, medicare A.  We were doing a 5day/significant change mds.  However, we completed the mds but she went to the hospital before the careplan.   So what do I do?  Do I submit the 5day/significant change mds?  But then when she comes back from the hospital I know I do another 5day, but can I call that one a significant change too?  Should I change this current 5day/sig change mds to just an MPAF?   That would be extra work since it's already completed.  What do I do here?   She is in the hospital right now.  Her careplan was supposed to be today.  We have never held a careplan when the resident wasnt' in the building.
Thanks!


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