A1805: Entered From, step-by-step

Step-by-Step Coding Guide for A1805: Entered From

1. Review of Medical Records

Objective: Determine the setting the resident was in immediately before admission or reentry to the current facility. This information informs both initial care and discharge planning.

Actions:

• Review admission and transfer records to identify the prior location.
• Confirm the location by consulting with the resident, family members, or authorized representatives if needed.

2. Understanding Definitions

A1805: Entered From provides a two-digit code to specify the type of location the resident came from before entering the current facility. Common examples include:

• Code 01: Home/Community, including private homes, apartments, assisted living, or other community-based settings.
• Code 04: Short-Term General Hospital (acute hospital).
• Code 09: Hospice (home/non-institutional) for those entering from home-based hospice care​.

Example Scenario:

• Resident A: Admitted from an acute care hospital following surgery. This would be coded as 04.

3. Coding Instructions

Step-by-Step:

• Step 1: Review documentation to confirm the resident’s prior location.
• Step 2: Use the provided list of codes in A1805 to select the appropriate two-digit code for the prior location.
• Step 3: Double-check the selected code aligns with the resident’s discharge setting from their previous facility.

4. Coding Tips

• Special Populations: Code 99 if none of the other settings are applicable or listed, as this will ensure the resident’s unique pre-admission circumstances are accurately captured.
• Hospice Distinction: Ensure that you distinguish between institutional and home-based hospice care for accurate coding​.

5. Documentation

Objective: Record the resident's prior setting accurately to support both care planning and discharge arrangements.

Actions:

• Document the chosen code in the resident’s admission records.
• Ensure the resident’s prior location is also noted in their care plan, particularly if they will be returning there after discharge.

6. Common Errors to Avoid

• Incorrect Code for Medical Settings: Verify distinctions among medical settings, such as skilled nursing facilities versus hospitals, to avoid coding errors.
• Assumptions Without Documentation: Avoid assuming the previous location without confirming through official records or family input.

7. Practical Application

Example 1:
A resident admitted from a skilled nursing facility with rehabilitative services would be coded as 03.

Example 2:
A resident admitted from an inpatient psychiatric facility would be coded as 07.