Long-Term Care

Q&A with Regulatory Specialist Diane Brown

MDS 3.0 Update, October 19, 2009

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Q: Our facility doesn't have a bed hold at present time due to a low numbers of beds occupied by residents. When a resident is discharged to the hospital, the discharge tracking form is coded as returned is anticipated (7). When the resident returns to the facility, should we keep the same medical record number and just follow the MDS schedule from the previous admission if there are no significant changes on the new admission of the resident?

If the resident was Medicare Part A, should we code as Medicare Return/Readmission (AA8b5)? Is it okay in that case if we are doing a new full assessment on every resident returning to the facility and the residents have a new medical record number? Every resident coming back is treated as new admission.

 

To read Regulatory Specialist Diane Brown's response visit MDSCentral.



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