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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? >
> >/---------------------------------------------------------- >The
Case Mix Discussion Group is a free service of the > American
Association of Nurse Assessment Coordinators >
"Committed to the Assessment Professional" >Be sure to
visit the AANAC website. Accurate answers to your >
questions posted to NAC News and FAQs. >
For more info visit us at
http://www.aanac.org >-----------------------------------------------------------/
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