Inactivation

[sls73]

A resident goes out to the hospital on private pay and returns 3 days later as a Medicare Part A. She is admitted 3/27 and they complete a 5D assessment on 4/2/2012. Her 14D assessment was completed on 4/9/2012 and her 30D assessment was completed 4/24/2012. Sounds good so far.....

Upon investigation it was determined that the 5D assessment was combined with an admission assessment versus a significant change in status as the reason for the assessment which means the HIPPS code is wrong. She was not a brand new admission she was re-admitted to the facility.

So, do I have to inactivate this assessment and bill default despite the fact that the PPS assessment type is right(it is a 5D and should be). The ARD is also correct. If yes, how far do I bill default- to the 14D assessment kicks in or all the way till today? And last but not least do I just complete a new 5D with a sig change or do I also have to re-do the 14D and 30D if I am defaulting through those assessments.

Sorry for my confusion- I am not the RNAC, just filling in.

Thanks for the help in advance.

[andy3k]

imkaren2, in post 9, you asked for confirmation of the rule that on or before discharge, you have to set the ARD for a day in the window. If the resident unexpectedly discharges, you can move the ARD of a scheduled PPS assessment back to the date of discharge IF it was already set. The information above was a confirmation per your request.

[sls73]

Put a paper MDS in your admission packet and have the nurses fill out three items- name, date of entry and the ARD. They can pick any date up to day 8 for the 5 day that way you can say it is set. You can adjust the date when you come back to suit your needs.