RE: PPS d/c then readmit in under 24 hours

[Brenda Chance]

See the MDS manual, pg. 2-38.  It states, “If the resident is out of the facility over a midnight, but for less than 24 hours, and is not admitted (to the hospital), the Medicare assessement schedule is not restarted.”  It goes on to explain that the medicare pps schedule is adjusted by 1 day.    The MDS manual, pg. 2-24 states regarding a discharge-return anticipated, “If a resident is temporarily admitted for acute care in the hospital or a hospital observation stay lasts more than 24 hours, but the resident is expected to return to the nursing facility, the discharge tracking form would be coded as a discharge with return anticipated.  When the resident returns to the facility, a reentry tracking from must be completed to report the return of the resident.”    What you have to determine is if the resident was truly admitted to the hospital or if this was an observational stay or a full admission to the hospital.  More than likely it was observational only.  If it was observational, you just add 1 day to the pps schedule and continue your assessments as scheduled allowing for the extra day.  Under these circumstances, you do not do a d/c or reentry.    If the resident was a full-admission to the hospital, then you would restart the medicare schedule, do a d/c tracking and reentry (if admission OBRA assessment has been done).   Hope that this helps!   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: Richardson, Christine [mailto:[EMAIL PROTECTED] Sent: Thursday, March 25, 2004 1:30 PM To: [EMAIL PROTECTED] Subject: RE: PPS d/c then readmit in under 24 hours      I believe there is a midnight rule if you know a res is going out for a procedure and will return the next day you don't have to restart the process. I am not sure where this info is. Does any one out there know? CAR -----Original Message----- From: Davina Demerritt [mailto:[EMAIL PROTECTED] Sent: Thursday, March 25, 2004 11:28 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   NOTE: This e-mail message may contain information that is privileged, confidential, and exempt from disclosure.  It is intended for use only by the person to whom it is addressed. If you have received this message in error, please do not forward or use this information in any way. Delete it immediately and contact the sender as soon as possible by the reply option or by telephone at the telephone number listed (if available).  In the event you cannot fulfill your obligation or there has been any improper release of this information, please contact the Privacy Officer at Carondelet Health at (816) 943-4611.