Re: PPS Question

[carol maher]

Yes, the reference you are looking for is on page 2-4 of the RAI manual.  It says that "IF a resident dies or is discharged within 14 days of admission, then whatever portions of the RAI that have been completed must be maintained in the resident's discharge record." Footnote to this states, 'The RAI is considered part of the resident's clinical record and is trated as such by the RAI Utilization Guidelines, e.g., portions of the RAI that are "started" must be saved."


-----Original Message-----
From: Michelle Witges <[EMAIL PROTECTED]>
Sent: Mar 26, 2004 11:41 AM
To: [EMAIL PROTECTED]
Subject: Re: PPS Question

I would have done the same.  I probably wouldn't have done the 5 day since she was in-house for only a few hours.  My question is, it legal to delete the assessments?  I would think that it would not be.  Have you contacted your corporate office regarding the deleted assessments?  I was under the impression that once you start an assessment you should not delete it, even if never gets completed.  I would definitely do some documentation and get back up that you were not the one that deleted them.  I may be wrong but be careful.

Michelle

----- 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) 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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