Hello all. I have been off work for 6 weeks due to the birth of our first child. I have spent the past week cleaning up some of the problems that were created by those that covered my job while I was off. I wanted to pose a question to the group about one of the problems: 2 different Medicare resident's came in and had their Admit/5 day PPS set with ARD on day 5. They were either discharged or died before the ARD. Instead of changing the assessments to a 0/1 and then doing a d/c prior to initial assessment, they left the assessments as 1/1's. They didn't do RAPS even though they coded them as admit MDS's. What they did do was type on the RAP summary sheet that RAPS were not done d/t discharge. So if state came in and looked at these charts, the MDS's are coded incorrectly, but section V has an explaination of why there are no RAPs. Would it be OK to leave it like this and chalk the error up to lack of
knowledge, or should I inactivate them, change the MDS's from a 1/1 to a 0/1 and then inactivate the discharges and change them from a 7 to a 8? Thanks for any help-----------Mike
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