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A2000: Discharge Date

Section A. Identification Information.

Step-by-Step Coding Guide for A2000: Discharge Date

 

Instructions:

  1. Identify the Discharge Date:

    • The discharge date is when the resident officially leaves the facility. This includes both anticipated and unanticipated departures.

  2. Documenting the Discharge Date:

    • Record the actual date of discharge in A2000. Ensure this date is accurately captured from the medical admissions or transfer records.

  3. Specifics for OBRA Discharge Assessments:

    • For OBRA Discharge assessments, ensure that the Discharge Date (A2000) and the Assessment Reference Date (ARD) (A2300) are the same.

  4. Exclusions from the Discharge Date:

    • Do not include periods of leave of absence or hospital observational stays of less than 24 hours unless the resident is formally admitted to the hospital.

  5. PPS Discharge Assessment Requirements:

    • A Part A PPS Discharge assessment is necessary under the SNF QRP when a resident's Medicare Part A stay concludes but they remain within the facility.
    • The PPS Discharge assessment should be conducted at the end of the Medicare Part A stay. If this coincides with or is one day before the facility discharge, combine it with the OBRA Discharge assessment, ensuring the ARD matches the discharge date.

  6. Combining Assessments:

    • When the Medicare Part A stay ends while the resident stays in the facility, set the ARD for the PPS Discharge assessment to the last covered day under Medicare Part A.
    • This PPS Discharge assessment can be combined with most OBRA-required assessments, provided all criteria for each are met. Refer to Section 2.10 of the CMS manual for details on combining PPS and OBRA assessments.
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A2000 Discharge Date
Coding Instructions
MDS 3.0 Manual Version 1.18.11
October 2023
Step-by-Step Coding Guide & Section A. Identification Information.
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