Q: I have a patient who went to the hospital on January 2, 2013. Her quarterly assessment reference date (ARD) had been scheduled on January 10, 2013 with her 90th day being January 20, 2013. She returned to our facility on January 19, 2013 missing her ARD date of January 10. Will it be a missed quarterly if I combined five-day with a quarterly, since her hospital days were not OBRA days?
A: In this case, you would combine the quarterly with the 5-day SNF PPS assessment.