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Were any of these assessments submitted? I really
hope not.
You certainly need to do the Reentry and the
Discharge. I guess you could have skipped the Medicare assessment and either not
billed or taken the default for one day.
You need to have a heart-to-heart talk with the
Admin, or have somebody else do it.
Nathan
----- Original Message -----
Sent: Friday, March 26, 2004 8:04
AM
Subject: Re: PPS Question
You were correct......and this is an example of why our Administrators
do not have the ability to delete or change an MDS in any way
in our system. Eileen Hall <[EMAIL PROTECTED]>
wrote:
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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