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Discussion

Another combining assessment

Had a resident return to the sNF, received Pt/OT then was discharged 2 days later back to hospital. I tried to do a 5 day, SOT and discharge RA together. I am getting an red error and default rate for RUG. Can I combine all of these? Admit 11/17, DC to hospital 11/18, received therapy starting 11/18 through 11/19. 0 (not an OBRA), 5 day PPS, Start of therapy and DCRA with aRD 11/19. I want to do this as a short stay assessment but when I do the assessment section Z has a "no" under short stay and I can't change to "yes". Is this a software problem or am I coding incorrectly. Thanks

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    I'm a little confused. Was the resident readmitted to facility on 11/17, then get therapy for two days (11/17 and 11/18 or 11/18 and 11/19), then d/c back to hospital on 11/19? If so, couldn't you just do a readmit combined with a discharge the day they returned back to the hosp? Or short (haha) five day if they were just picked back up by mcr, combined with discharge? providing I guess that they received therapy the day of discharge. anyone else? i need a 3.0 manual for home use, but they are so darn big.

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    Resident was readmitted 11/16 on MA. Starting to receive therapies on 11/17 and also rec'd 11/18 and was discharged that evening back to the hospital. I did an entry for 11/16. Can't I do a 5 day, start of therapy and discharge along with a short stay (to get my nursing and rehab rug) with an ARD of 11/18? Or do I need to separate them somehow?

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    From what you are describing, it sounds correct. 5day/SOT/discharge with short stay. Did you make sure to dash the end date of the therapy on sect. O?

    Maybe it is your software.

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    You don't need to do the "Start of therapy" portion if they started back on therapy by the second day of admit, so you can do the 5 day as a discharge. The software should allow that...

    ST

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    Try coding it as a 5day /SOT and EOT/DC then enter the start of therapy date and end of therapy date in section O. It will be a short stay assessment.

    What is your software? We use pointclickcare in my facility and it sucks.

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    • Author

    WE use Accu-care. It looks like I got several different opinions on what to do. SOT or no SOT. I'll look at this more tomorrow. thanks for the input.

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    should only be a 5 day assess combined with a D/C return anticipated.........no need for SOT or EOT and not a short stay.

    Happy Monday, at least it's a short week..........which only means work later to be able to take thursday, friday off......still have to take friday as a vacation day, even though i'll probably be there untill 8pm tonight and tuesday...

    HAPPY THANKSGIVING TO ALL, FORGET THE MDS, FOCUS ON FAMILY!!:heartbeat

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