You do not need to start a new chart if the res is a discharge return anticipated.  We used to have to do this when a patient was medicare A and went to the hospital but that rule no longer applies.

 

Heidi Ebertowski,R.N.

MDS Care Coordinator

Valley Memorial Homes

Grand Forks, ND

(701)787-7937   fax (701)787-7901

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-----Original Message-----
From: Pat Rich [mailto:[EMAIL PROTECTED]
Sent: Wednesday, January 14, 2004 12:09 PM
To: [EMAIL PROTECTED]
Subject: discharging medicare A

 

Please help me clarify what is regulation on medicare A residents. If medicare A goes out to the hospital I d/c return anticipated and upon return I do a sig. change assess./5day or if no change I do na/5day. I then review raps if indicated and pull forward if no changes. I leave 15 mos of assessments on the chart at all times regardless of admit or readmit. I have been told recently to completely d/c chart and start all over with new raps with each admit and that the 15 mos only apples to icf not medicare. Would someone please clarify this for me.

thanks for you help
pat



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