RE: discharging medicare A

[Brenda Chance]

No matter what your facility policy is, per the MDS manual, if you d/c with return anticipated, then you do not redo an admission assessment, no matter is your facility closed the chart.  If you did a return not anticipated, then you would start over with an admission assessment.  If the resident has been discharged from your building, you must still make 15 months of assessments available.    I keep my assessments in a file cabinet in my office where they are accessible to staff.  The charge nurse has a key to my office.  The way we ensure we have assessments on resident that have been physically discharged is we make copies of the assessments that belong to a previous chart and put them in the file.   Brenda W. Chance, RN, RAC-C MDS Coordinator     CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: Pat Rich [mailto:[EMAIL PROTECTED] Sent: Wednesday, January 14, 2004 1:09 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 This electronic message may contain information that is confidential and/or legally privileged. It is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not the intended recipient of this message, please notify the sender immediately and delete the material from any computer; do not delive distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you. Do you Yahoo!? Yahoo! Hotjobs: Enter the "Signing Bonus" Sweepstakes