Re: return/readmission assmt

[RRS2000]

When a resident is discharged back to the hospital, the discharge tracking code should reflect return anticipated (unless the initial Admission assessment was not completed prior to the discharge) unless the physician or family informs the facility on the way out the door that the resident will not be returning - that establishes that the resident is not expected to return.  On return to the facility after a discharge return anticipated, the Part A schedule would start with a readmission/return assessment, and the OBRA assessment schedule would resume where it left off prior to discharge unless a SCSA is warranted.  See chapter 2 of the RAI User's Manual, starting on page 2-24.

A new admission date (Date of Entry, AB1) is not appropriate unless a resident is readmitted after a discharge return not anticipated (RAI User's Manual, page 3-13).

Rena

Subj: return/readmission assmt
Date: 12/30/03 5:32:02 AM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
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Hi all, I think I have been doing this wrong, so please lead me in the
right direction.
We are a short stay hospital based skilled, usually when patients have
discharged back to acute we have dc'd with an appropriate  reason 8
(prior to the initial) or 6 (after the initial) (and we always do the
inital on the 14 day assmt), but on occassion these pts have come back
to us.   but have always felt that we did not expect them to return due
to the size of the unit etc etc.(so we have not used the 07 dc(return
anticipated)  So when readmitted we have always started with a new
admission date and our first assmt is always a 0(none of the
above)1(medicare 5 day). 
So is this practice wrong?? or
on the 08 dc should I give them a new admission date, then the next
assmt would be a 0,5(medicare return/readmission)
and the 06 I would give them a new admission date and do a 5 day coded
0,1?
Thanks for your help
Karen

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
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