In a message dated 3/26/2004 8:14:15 AM Eastern Standard Time, "mdsc" <[EMAIL 
PROTECTED]> writes:

>You did everything the same way I would have done
> �----- Original Message -----
> �From: Eileen Hall
> �To: [EMAIL PROTECTED]
> �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) 


Am I the only one who sees something unethical about Administraion "deleting" these 
assessments?
This is WORK that someone took the time to do!!
I'd be out the door.




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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