It is acceptable to just do a discharge prior to completion of initial assessment and 
take the default rate, but NOT usually a good idea financially for the facility.  Even 
though the resident was only in your facility a short time, you could complete a 5 day 
PPS assessment and code the information from the hospital which would place the 
resident in a RUGS group that could be billed. You would also need to complete a 
discharge tracking form with discharge prior to initial assessment.  No need to do an 
entire admission assessment, just a 5 day PPS for payment.  Dash the answers you do 
not know.
-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Jan 21, 2004 3:04 PM
To: [EMAIL PROTECTED]
Subject: coding medicare assess

According to our adm. if a resident leaves the facility say prior to 12mn on 
the 18th the last actual day of service would be 17th due to the "midnight 
rule". how about the res that is admitted on the 17th and leaves the facility 2-3 
hours later would you do a 5 day or a disch prior to completion of assess and 
just take a default rate? Thanks
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The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
-----------------------------------------------------------/

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