Discharged for one day.

[Cecilianurse]

To all experts, :-)

PLEASE HELP! I have a resident on existing MED A then on his 57 day he went to hospital for a scheduled Kyphoplasty of T12 and stayed one night for observation. Last assessment done was a 60D/Q on 2/17 then SX on 2/18, also had 3 COTs and 90D completed for him.

1. Do I inactivate the 60D/Q on 2/17?

2. Complete the DC for 2/18?

3. Do a re-entry for 2/19?

4. Complete a readmission/Q for 2/26? Then whatever COT needed.

Please confirm if these steps are correct. All assessments will be late.

FYI, this is was just discoved by the SS yesterday.

THANK YOU!!!

[Talino]

Assuming resident was actually in"observation" for more than 24 hours, I can only recommend inactivating the 60D & COTs, complete a DC and a ReEntry and submit as late with a warning.

It would be unscrupulous if I suggest to go ahead and complete a Hosp Return/Readm and all the succeeding PPS assessments until the 100th day is exhausted. By now, you are way outside the acceptable ARD window. It would only be ethical to bill the default rate.

You may be able to salvage the 90D if the ARD is within the correct window, modify it to a 30-day and bill the actual RUG score up to the 100th day. This, of course, is just a conjecture.

However, if the observation status was less than 24 hours, Eureka! Luck has befallen upon you! You will not need to do anything.

The hospital observation stay will be treated as a leave of absence (RAI, p2-12 bullet #3).