Since your resident was out less than 24 hours and not admitted to the hospital you would not do a discharge tracking form.  The Medicare cycle would NOT start over.  Page 2-38 of the manual under "Resident is admitted to an Acute Care Facility and Returns : "If a resident is out of the facility over a midnight, but for less than 24 horus, and is not admitted, the Medicare assessment schedule is not restarted......The day receding the midnight is not a covered Par A day and therefore, the Medicare assessment "clock" is admusted by skipping that day in calculating when the next Medicare assessment is due."
----- Original Message -----
From: MDS Lady
Sent: Monday, January 26, 2004 9:55 AM
Subject: LOA vs bedhold

I have been asked to pass this question on to the group.....
 
"Medicare resident went to hospital was not admitted and gone less than 24 hours so it would be a LOA day. However the family paid bedhold so billing changed the payer type to private for the one day.....since the A/R type was changed do we need to do a dc and reentry and start the Medicare schedule over or does the A/R type effect the LOA at all?"
 
Thx in advance!


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