Q&A: A Medicare Part A resident discharged to the hospital, but we did not complete the Medicare Part A PPS discharge assessment. Should I go back and modify?

Rena R. Shephard, MHA, RN, RAC-MT, DNS-CT, QCP-MT

Question: A Medicare Part A resident has an unplanned discharge to the hospital. A discharge return anticipated assessment was completed. Several days later we learn she will be returning under hospice care. We did not complete the Medicare Part A PPS discharge assessment. Is it necessary to go back and modify the discharge return anticipated assessment to include the Medicare Part A PPS discharge assessment? Should we be completing a Medicare Part A PPS discharge assessment each time a Medicare Part A resident goes back to the hospital, even if we expect them to return and be Medicare Part A again? 

AnswerYes, you need to go back and complete the PPS Discharge assessment for this resident. 

A PPS Discharge assessment is required when any PPS stay ends unless the resident's death is what ended the PPS stay.

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