You need to determine whether or not the resident was actually admitted to the
hospital. Often, residents receiving blood transfusions are just at the hospital for
an observational stay. The requirement to complete discharge and reentry forms is not
based on the facility's practice of opening and closing charts, so your billing
department's procedure should not influence when you complete discharge tracking
forms. You need to determine whether or not the resident was ADMITTED to the
hospital. If she/he was not admitted, you do not need to complete a tracking form.
See page 2-23 of the RAI manual.
You did not say if this was a Medicare resident, if the resident is Medicare A, you
also need to make determinations about the PPS cycle because of being out of the
facility at midnight.
-----Original Message-----
From: Davina Demerritt <[EMAIL PROTECTED]>
Sent: Mar 25, 2004 9:28 AM
To: [EMAIL PROTECTED]
Subject: PPS d/c then readmit in under 24 hours
I have a resident who was discharged yesterday ~1pm to the hospital
yesterday for blood transfusion and returned today ~11am. Billing is
discharging and readmitting resident as hospital will bill for yesterday.
Since billing is totally discharging, then I have to d/c and re-enter and
start the count over. Correct?? Sorry, but my brain is fried thats to
state staying until after 8 last night on a complaint.
Davina DeMerritt, RN
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