A2000: Discharge Date

Item Rationale

Closes the episode in iQIES.

Coding Instructions

Enter the date the resident was discharged (whether or not return is anticipated). This is the date the resident leaves the facility.

For OBRA Discharge assessments, the Discharge Date (A2000) and ARD (A2300) must be the same date.

Do not include leave of absence or hospital observational stays less than 24 hours unless admitted to the hospital.

Obtain data from the medical, admissions or transfer records.

Coding Tips and Special Populations

A Part A PPS Discharge assessment (NPE Item Set) is required under the SNF QRP when the resident’s Medicare Part A stay ends, but the resident does not leave the facility.

The PPS Discharge assessment is completed whenever a Medicare Part A stay ends. The PPS Discharge assessment must be combined with the OBRA Discharge assessment when the Medicare Part A stay ends on or one day prior to the day of discharge from the facility. When the OBRA and Part A discharge assessments are combined, the ARD (A2300) must be equal to the day of discharge from the facility (A2000).

The PPS Discharge assessment is also completed when the resident’s Medicare Part A stay ends, but the resident remains in the facility. When this occurs, the ARD (A2300) of the PPS Discharge assessment must be the last Medicare Part A covered day. The PPS Discharge assessment may be combined with most OBRA-required assessments when requirements for all assessments are met (please see Section 2.10 Combining PPS Assessments and OBRA Assessments).