If she was not gone for 24 hours you do not have to start her all over. She would continue with her same PPS schedule when she came back. You only have to start them over if they are gone for more than 24 hours. You would add another MCR day onto her days. ex: if she came into your facility with 100 days and lets say her 100th day was going to be 5/29/04, if during her stay she was gone to the ER over midnight but not more than 24 hours you wouldn't be able to bill for the day she was gone at midnight so you would extend her 100th day to 5/30/04 but you wouldn't have to start her over again. If she was gone for more than 24 hours then you would start her over again. In our state they want us to do discharge tracking forms anytime a Resident is gone from our facility at midnight for any medical reason. D Nichols RN RAC-C
----- Original Message ----- From: "Debbie Settle" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Monday, March 01, 2004 1:07 PM Subject: RE: type of assesments > No, she was not admitted. She was just in the ER a long time. Thanks for > your response. It was just what I was thinking, but its good have another > opinon. > > -----Original Message----- > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of > carol maher > Sent: Monday, March 01, 2004 1:05 PM > To: [EMAIL PROTECTED] > Subject: Re: type of assesments > > > I think that a big question would be "Was she admitted to the hospital?" If > she was not, and was in the bed at midnight, you would continue as you would > have had she returned at 10 PM. If she was admitted to the hospital ( and > stranger things have happened) then you would need to do a discharge > tracking form, complete the day 5 for the first admission day or take > default and then begin counting from readmission for the new day 5. Hope > she wasn't admitted, it is cleaner. > > -----Original Message----- > From: Debbie Settle <[EMAIL PROTECTED]> > Sent: Mar 1, 2004 8:40 AM > To: [EMAIL PROTECTED] > Subject: type of assesments > > I have a Medicare resident who was admitted @ 2:30pm on 02-28-04, was sent > back to hospital (ER) @ 3:00pm due to bleeding from incision line. I was > planning on doing a 5 day MDS w/ ARD on 02-28 today as she had not returned > by the time I left on Friday (02-28). However, when I got here this AM she > had retuned @ 12MN on 02-28 (which is actually the start of 02-29. So should > I do a 5 day w/ ARD of 02-28 and start over w/ "Readmit to medicare" OR > since she was actually "head in the bed" @ MN just do a regular 5 day (and > just consider her the same as she'd returned @ 10pm) ????? > > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ > > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ > > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
