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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