I have worked with many MDS co-ord and BOM who did not do a 5 day or bill for Medicare pt admitted and d/c on same day, however I have recently changed jobs and the BOM bills for that day although there isn't a 5 day done, she bills default rate,. First of all there isn't a MDS done so how can she bill? This is my first month at new facility and I have had 2 pt with this scenario so I did a five day. I looked it up on CMS however gotten 2 different answers. Can anyone give their advice???