RE: Leave of absence

[Brenda Chance]

Per the manual on Pg. 2-23, it states, “When the resident leaves the facility on a temporary visit home, or on another type of therapeutic or social leave” then the discharge and reentry tracking forms ARE NOT completed.    I would say just continue your PPS schedule on her, write a note explaining what happened and that resident was given the chance to go home for LOA to see if she was ready to live independently at home.  I would extend the medicare days by 3 days, but if you are in the middle of an assessment period, the ARD is not altered.  In this case, you may include services furnished during the beneficiary’s temporary leave of absence.” See pg. 2-38.       Brenda W. Chance, RN, RAC-C MDS Coordinator     CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: Ann Schoeny [mailto:[EMAIL PROTECTED] Sent: Monday, April 19, 2004 11:45 AM To: [EMAIL PROTECTED] Subject: RE: Leave of absence   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