You can do a Medicare 5 day ( or Medicare return/readmission, if appropriate) assessment with the day of admission as the ARD. Pick up anything from the acute record that you can and use that RUG group for your bill for that day. Or you can choose not to do an MDS and take the default rate for the day. It is usually better to do the MDS as best you can because it will usually pay enough to make your time worth it. The facility did a lot of work for the resident that day, admission assessments and assessing and calling the physician for whatever the reason for return to acute, etc. So it would be good to get paid for all of the work.
-----Original Message-----
From: MDSNancy <[EMAIL PROTECTED]>
Sent: Jan 12, 2004 10:57 AM
To: [EMAIL PROTECTED]
Subject: medicare admit and discharge same day
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-----Original Message-----
From: MDSNancy <[EMAIL PROTECTED]>
Sent: Jan 12, 2004 10:57 AM
To: [EMAIL PROTECTED]
Subject: medicare admit and discharge same day
I know this has been discussed before, forgive me for asking again. I had a medicare A resident admitted, then discharged back to the hospital 6 hours later. She was not seen by the doctor or therapies. Do I do a PPS mds on her or not? And what exactly can billing bill for on this day?
Thanks, Nancy
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