HELP! Discharged 1 day after admission

[mydoggierocks]

I'm an MDS Coordinator of a skilled unit that opens a couple times a year. My partner and I are very NEW MDS Coordinators with no formal training.

We had a resident who was admitted late afternoon on Friday 3/27, but discharged early Saturday morning on 3/28. Her stay was less than 24 hours. We already submitted an entry tracker. So my questions are:

1. Do we do an admission assessment?

2. Do we do a 5 day scheduled assessment?

3. Therapy didn't even see her - do we do a start of therapy/end of therapy assessment?

4. What assessments should we combine?

Thanks so much!

[taRaNeika_88]

I work in MDS and I was always told only do an assessment if they were in the facility for at least 24 hours but I know that every facility is different.

[eldragon]

You can't do an assessment. She wasn't there long enough to really receive payable services. An entry and a discharge. She wasn't there for a 5 day scheduled assessment, which takes a complete 5 days, which is done on the 7th day, right?

You have no look back period.

Therapy didn't see her - no start of therapy and no end of therapy because there was no therapy.

Unless something has changed - entry record and discharge. That's it.

[eldragon]

Also, discharged where? Back to the hospital? Home? Did she leave AMA?

[mydoggierocks]

She was discharged to the hospital

[Talino]

Since resident was in the facility at midnight, you get paid for the day of admission. Combine a 5-day and the DC. Capture applicable items received while in hospital. You will get paid the calculated RUG rate. If you don't do a 5-day, you will only be paid the default rate.

[NurseMellie]

I would do a 5day and discharge. You can code some of the things in the hospital before her admission. In coding some of the ADLs make sure you ask the staff very specific questions about how much assist they gave her so you get an accurate picture of her needs.