Re: LOA - ARD window

[KDeniseSRN]

Was this resident admitted to acute care? If so then Holly is correct, but I don't think Holly said anything about the resident being admitted. In that case (if the resident wasn't admitted) then doesn't nursing use a 24 hour rule and not a midnight rule? Just a question. Holly is right.  See pg.  2-38 of the MDS manual under âResident is Admitted to an Acute Care Facility and Returnsâ, 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.     Holly F. Sox, RN, RAC-C Clinical Editor, Careplans.com www.careplans.com    [EMAIL PROTECTED] ----- Original Message ----- From: MDS Lady To: [EMAIL PROTECTED] 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 ----- From: MDS Lady To: [EMAIL PROTECTED] 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.   Thx in advance!