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
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-----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?
sem haven nursing
and rehab
-----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
