RE: Leave of absence

[Ann Schoeny]

You need to do a dischage return anticipated for 4/9/04 Then do a reentry for 4/12. Are you going to keep her skilled? If so do a medicare assessment (medicare readmission/return assessment) coded as 0/5. If she has not changed since original raps were written you can just keep her on original OBRA schedule, start a new medicare schedule. Remember that she used 6 days when figuring out when her benefit runs out. So you would do a 0/5 then 0/7(14 day) etc. Does this make sense?   ann m schoeny crnac sem haven nursing and rehab 225 cleveland ave. milford, ohio 45150 (513) 248-1270 -----Original Message----- From: Judy Lyden [mailto:[EMAIL PROTECTED] Sent: Monday, April 19, 2004 11:19 AM To: '[EMAIL PROTECTED]' Subject: Leave of absence Would anyone be able to help me?  I have a med A resident who had a temporary leave of absence to home for 3 days and then returned to the facility and I'm not understanding if I continue with the PPS schedule or need to start over.  According to the manual and information from the AANAC program manual it is sounding like a temporary leave of absence can only be for a day.  She was admitted 4-3-04 to a medicare bed.  She felt she could make it at home and went home 4-9 on bedhold and returned 4-12 because things did not go well.  We did the 5 day assessment as an admission - 5 day.  We did raps.  I understand our internal bedhold policy is separate from what we do regarding the MDS's and discharge and retracking.  However, I still have these questions:  1.  Can we just continue on with her original assessment and do a 14 day MDS with the original admission date?  2.  Do we need discharge and reentry tracking forms?  3.  Do we need a new MD cert form?   Judy Lyden, RN MDS Coordinator ext. 231