Goodness, it does sound like you are doing a lot of unnecessary work. However, the question would be "how are you discharging them?" If the residents are going to an acute setting you should be discharging them with Discharge return anticipated--AA8a=7. If that is the case, you would complete a reentry form on their return and then restart the PPS cycle with a Medicare Readmission/Return assessment AA8b=5. You would not need to do another admission assessment---SHOULDN'T do another admission assessment. The Medicare PPS 14-day assesssment does not require RAPS. You will need to make the determination of whether the resident has had a significant change in condition, of course. If a significant change has occurred, you would need to complete the SCSA within 14 days of the determination of significant change. (Most probably could be combined with one of your PPS assessments). But if no Significant Change, no RAPS are needed with PPS only assessments.
Sounds like you have just gotten some very good news from the AANAC site. Nothing like finding out the workload doesn't need to be as difficult as it was.
-----Original Message-----
From: Suzanne Holko <[EMAIL PROTECTED]>
Sent: Apr 21, 2004 7:35 AM
To: [EMAIL PROTECTED]
Subject: med a/obra assess.
-----Original Message-----
From: Suzanne Holko <[EMAIL PROTECTED]>
Sent: Apr 21, 2004 7:35 AM
To: [EMAIL PROTECTED]
Subject: med a/obra assess.
I am at a very large rehab - 95 part A's 85 LTC - we send a lot of people back and forth to the hosp, for various reasons. If they are dc'd after we did a 14 day/admission assessment and they return to us with no significant change don't we just pick up with the medicare assessments: return/readmission, 14 day without RAPs... I think we are spending a whole lot of unneeded time redoing RAPs. Am I correct in my thinking?
Suzanne
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