If the resident was not admitted to the hospital, you would not need to restart the PPS cycle because he was not admitted or in an observation stay for more than 24 hours.  So the next assessment due is a day 14.  Since he was not in his bed at midnight, however, the day preceeding the midnight is not a Medicare billable day.  So the MDS schedule has to be adjusted by 1 day.  Jan 23 was not a Medicare day, so Jan 24th was actually day 11 (not day 12).  See page 2-38 of the manual under the heading of "REsident admitted to an Acute Care Facility and returns."  Read the second paragraph, it gives all the particulars.
----- Original Message -----
Sent: Tuesday, February 10, 2004 6:36 PM
Subject: modifiers

Resident admitted 01/13/04,  5 day assessment done 01/17/04,sent to ER 01/23/04 at 10 AM returned 01/24/04 at 1.40 AM. What assessment wil you do? readmission 05 or 14 day 07. Bogda.

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