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You did everything the same way I would have
done
----- Original Message -----
Sent: Friday, March 26, 2004 12:39
AM
Subject: PPS Question
A resident of our facility was hospitalized with
R/O MI. She returned to the facility after a 3 day qualifying stay as
Medicare. Nursing assessment was completed at 5pm and orders were verified and
sent to the pharmacy. To make a long story short she fell 3 hours later and
hit her head. She was readmitted to the hospital with traumatic head injury. I
proceeded as follows: re-entry assessment, 5 day PPS (as she met the
presumption of care falling into the upper 26 RUG's) a discharge return
anticipated, all reflecting the same date of event
(ARD). My Administrator did not want these assessments done stating
it would "mess up" the Medicaid bedhold. I contacted the corporate office and
was told that these assessments needed to be done. I proceeded as instructed
by the corporate office. Today these assessments were deleted from the
database (by Administration) and it now looks like she still has not returned
from the original hospitalization. Was I right in doing these assessments?
Regardless of pay status, aren't the re-entry and discharge federal
requirements at least?
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