Every time they re-admit you put that date in section A4a and that should take care of any problems with original admit date and the 14 day time frame.
Michelle
----- Original Message -----
From: MDS Lady
Sent: Monday, May 10, 2004 4:45 PM
Subject: Re: Medicare A and discharge prior to , over and over

This creates another question.......since, per the RAI, you use the original admit date in AB1 (date of entry) on all these multiple discharge 08's...what happens when the admit date is more than 14 days from the discharge date? Can you still use the 08? Do you still use the original admit date?
 
There is no limit to the number of Discharge Tracking Forms you can file with the code 8, Discharged Prior to Completing Initial Assessment.  See page 2-24 of the RAI User's Manual.

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]


Subj: Medicare A and discharge prior to , over and over
Date: 5/10/04 6:57:09 AM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet



I have a medicare A resident who was admitted, then discharged after only a few days.  I did a 5day PPS mds for payment, then did a "discharge prior to" for OBRA.  She returned and we started over with another 5day,  then back she went to the hospital!   So my question is, how many 08 - discharge prior to completing initial assessments can I do?  We haven't done an admission mds yet.  Should I do another 08 and 5day PPS only mds and try again when she returns? 
Thanks, Nancy





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