DiraChart MDS item reference
Item Rationale
Use the item-specific response choices below when structured codes apply.
A2000 — Discharge Date
Enter the value requested for this item using the current CMS date entry format. Verify the entry against Manual page A-41 and the supporting facility documentation.
Review what the item asks, how to choose the response, and what should be verified before submission.
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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.
and Special Populations
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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.
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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).
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
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