A1900: Admission Date (Date this episode of care in this facility began), Step-by-Step

Step-by-Step Coding Guide for A1900: Admission Date

Instructions:

1. Determining the Admission Date:

   • The Admission Date recorded in A1900 is crucial as it marks the beginning of the resident's current episode of care in your facility.
   • Use the format Month-Day-Year (MM-DD-YYYY) for entering the date. For instance, October 12, 2010, should be recorded as 10-12-2010.

2. Linking Entry Date and Admission Date:

   • The Admission Date (A1900) may align with the Entry Date (A1600) if the resident has not been discharged during the stay.

3. Examples for Clarification:

   • Example 1: A resident admitted from an acute care hospital for post-operative rehabilitation has the same date entered in A1600 and A1900.
   • Example 2: A resident who was previously discharged and returns to the facility for rehabilitation after a new hospital stay is treated as a new admission, with a new Admission Date in A1900.

4. Special Considerations for Reentry:

   • If a resident returns from a hospital stay within 30 days, they are considered to be continuing their current stay. The Entry Date (A1600) is updated, but the Admission Date (A1900) remains unchanged from the initial admission.
   • For a resident readmitted after more than 30 days or not anticipated to return, a new episode of care begins, requiring a new Admission Date in A1900.

5. Documentation Ties:

   • A1900 is closely tied to A1600 (Entry Date), A1700 (Type of Entry), and A1805 (Entered From), reflecting the continuity and nature of the resident’s stay within the facility.
   • It's imperative to maintain accurate records for each resident’s episode of care, adjusting the Admission Date accordingly to reflect true episodes of care in your facility.

6. Action Steps for Facility Staff:

   • Review the resident's history and current admission details to accurately code A1900.
   • Ensure that all related sections (A1600, A1700, A1805) are consistently coded to reflect the resident’s admission accurately.
   • Utilize provided examples as guidance for complex situations, such as reentries or transitions between care settings within the facility.

The Step-by-Step Coding Guide for item A1900 in MDS 3.0 Section A is based on the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.18.11, dated October 2023. Please note that healthcare guidelines, policies, and regulations can undergo frequent updates. Therefore, healthcare professionals must ensure they are referencing the most current version of the MDS 3.0 manual. This guide aims to assist with understanding and applying the coding procedures as outlined in the referenced manual version. However, in cases where there are updates or changes to the manual after the mentioned date, users should refer to the latest version of the manual for the most accurate and up-to-date information. The guide should not substitute for professional judgment and the consultation of the latest regulatory guidelines in the healthcare field.