Medicare stay question

[Sheryl218]

Resident returns from the hospital with orders for therapy. Medicare stay would start that day, a couple days later resident is readmitted to the hospital. When you do the discharge the start of medicare stay would be reentry date, do you put date of discharge as end of medicare stay date and then when they reenter put the date of reentry? Does anything have to be done regarding therapy dates?

[imkaren2]

Resident returns from the hospital with orders for therapy. Medicare stay would start that day, a couple days later resident is readmitted to the hospital. When you do the discharge the start of medicare stay would be reentry date, do you put date of discharge as end of medicare stay date and then when they reenter put the date of reentry? Does anything have to be done regarding therapy dates?

Hi Sheryl

If I understand you correctly, your pt. went out to the hospital and returned, the day he returns is day 1 of his medicare stay.

So now that 5day is set for the day the pt. went to hospital and is also the discharge assessment. Both of those assessments can be combined. It doesn't sound like it meets the requirements for a short stay.

Ok so when you bring back the pt. and are doing another discharge, yes, the start of medicare would be the "reentry" date and the "end date" would be the discharge date.

As far as therapy goes, no end dates there because they never ended.

Ask yourself this question.."If the patient didn't go to the hospital would therapy have ended?" At some point in time, that date will come to play should you decided to do a short stay. Does all this help?

Karen

[Sheryl218]

Thanks, and yes it helps. That is the way I completed them, but as I sit at home I 2nd guess it. The stay is not a short stay.