Your BO can bill for an admission if the resdient is dc'd before midnight.  The BO should know the right code to file it under.  ANd then you would want your 5 day assessemtn to bring in the proper reinbursement.  We all know the amount of work you do in the first few hours after an admission!  Take credit! 
 
----- Original Message -----
Sent: Friday, March 26, 2004 8:35 PM
Subject: ADMINISTRATION DELETION OF ASSESSMENTS!!

I would have done it the same way- 5day and then discharge!
Lisa
 
 
 
In a message dated 3/26/2004 5:08:33 PM Mountain Standard Time, [EMAIL PROTECTED] writes:
I don't think 5 days mds is necessary because it is for pps which is for
payment. resident admitted and discharged to hospitap at the same day and
your facility can't send bill anyways. why 5days mds is needed? And it is
not for resident's quality of care neither because resident is not there
anymore. But discharge tracking is needed to be completed.
      Helen kim  MDS coordinator.


>From: [EMAIL PROTECTED]
>Reply-To: [EMAIL PROTECTED]
>To: [EMAIL PROTECTED]
>Subject: ADMINISTRATION DELETION OF ASSESSMENTS!!
>Date: Fri, 26 Mar 2004 16:07:44 -0500
>
>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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