LEGAL NOTICE TO THE FOLLOWING ALLNURSES SUBSCRIBERS: Pixie.RN, JustBeachyNurse, monkeyhq, duskyjewel, and LadyFree28. An Order has been issued by the United States District Court for the District of Minnesota that affects you in the case EAST COAST TEST PREP LLC v. ALLNURSES.COM, INC. Click here for more information
RAI Manual page 2-46 explains this and more, "Completed when a resident whose SNF stay was being reimbursed by Medicare Part A is hospitalized, discharged return anticipated, and then returns to the SNF from the hospital within 30 days and continues to require and receive Part A SNF-level care services. Under these conditions, the entry tracking record completed upon return to the SNF will be coded as a reentry with Item A1700 = 2."
In other words, a 5-day follows an admission for a Medicare resident while a resident who discharged - return anticipated while on Medicare and returns on Medicare gets a readm/return assessment instead of a 5-day.
An entry tracking record is required EVERY time a resident is admitted or returns after discharge. OBRA/PPS/OMRA assessments are in addition to the entry. At the bare minimum, a resident who enters and leaves the facility would receive an entry and a discharge. All other assessments are performed as needed.