Holly is right. See pg. 2-38 of the MDS
manual under “Resident is Admitted to an Acute Care Facility and Returns”,
paragraph 2.
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: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]
Sent: Tuesday, January 27,
2004 11:06 AM
To: [EMAIL PROTECTED]
Subject: RE: LOA - ARD window
Holly, I don't believe your response was accurate. I have
always understood that the Medicare midnight rule only affects billing, but it
does not affect the assessment window or schedule. The discharge tracking
criteria, page 2-26, affect the assessment window and schedule. Or am I missing
some information?
Peggy E. Williams, SW, Public Health Advisor
Department of Health
Office of Health Care Facilities
Licensure and Certification
605-773-3356
-----Original Message-----
From: Holly Sox, RN, RAC-C
[mailto:[EMAIL PROTECTED]
Sent: Tuesday, December 02, 2003
10:13 AM
To: [EMAIL PROTECTED]
Subject: Re: LOA - ARD window
According to the Midnight Rule, though,
if the resident is not in the bed at midnight, then the whole day is
disregarded, and your assessment window (and medicare calendar) is adjusted by
one day. In your example, the assessment window would change to 11/20, if the
resident was out of the bed at midnight.
----- Original Message -----
Sent: Tuesday,
December 02, 2003 10:11 AM
Subject: Re: LOA -
ARD window
Thanks...but the LOA was not during the observation
period....
Caralyn Davis <[EMAIL PROTECTED]>
wrote:
Is this what you are looking for:
RAI User's Manual, Chapter
2, page 38:
Resident
Leaves the Facility and Returns During the Middle of an ARD Period
The ARD is not altered if
the beneficiary is out of the facility for a temporary leave of absence during
part of the observation period. In this case, the facility may include services
furnished during the beneficiary 's temporary absence (when permitted under MDS
coding guidelines -see Chapter 3) but may not extend the observation period.
----- Original Message -----
Sent: Tuesday,
December 02, 2003 7:46 AM
Subject: LOA - ARD
window
When a Medicare resident has an LOA day......is the
ARD window adjusted?
Ex.: 60 day window 11/19 - 12/3, resident has LOA on
day on 11/15. Does the 60 day window remain the same or change to 11/20 - 12/4?
Please include documentation.
Do you Yahoo!?
Free
Pop-Up Blocker - Get it now
Do you Yahoo!?
Free
Pop-Up Blocker - Get it now
