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#1: Start over if the OBRA assessment
was NOT completed with the 5 day.
#2: No bedholds in our building
#3: Code as 0 7 if the OBRA assessment
(ADMISSION) was done with the 5 day MDS. If your length of stay averages less
than 10 days it makes more sense to do the OBRA admission (1) and Medicare 14
day (7) together - makes much less work. Illinois is considering a rule change:
instead of leaving it up to facilities which date to do an OBRA admission that
it would be required on ALL clients even if discharged after only 2 or 3 days.
Good luck in your new
exploration!
Hi everyone:
I have taken over PPS at our facility, and am still struggling with a few
things. Can anyone help me with the following scenarios?
1) A resident is admitted to our facility with Med A coverage for
Rehab. Her 5 day MDS is completed, and 14 day is scheduled. She
goes out to the hospital two days before the ARD, and returns to the facility
the day before the ARD of the 14 day assessment. She was coded as an 08
on the D/C tracking form......discharged prior to initial assessment
completed. She was not on a bedhold. My question is: Do I
need to start the PPS process all over again with a 5 and 14 day? Or can
I do a re entry tracking form and complete the 14 day as scheduled, with the
scheduled care plan meeting? Also, if we do another 5 day, is it coded
as a return assessment? Either way, I know she needs to have a
comprehensive assessment, but I wasn't sure if I could use the one scheduled,
or if the process starts again.
2) Facility has bedhold in place. A resident who has been
unskilled for at least three months goes out to the hospital for behavioral
issues two weeks after his OBRA annual assessment is completed. Can we
pick him up for Med A based on the three day hospital stay/IV medication given
for at least five days?
3) Third question: When would you code a 14 day MDS 0-7
rather than 1-7? Is it when they were discharged after their initial
assessment was complete?
Appreciate any and all answers!
Thanks,
Donna
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