An
OMRA is required only if the resident is staying on Medicare after ALL rehab is
d/c'd. Actually you have seven days from the last DAY of rehab
treatment to monitor for the need to go back on Rehab. If so, you'd just
continue to do the PPS assessments as scheduled. If not, you'd need to do
an OMRA on day 8,9, or 10 AFTER LAST rehab DAY, BUT ONLY if you're keeping
them on Medicare. (Keep in mind that it is the last day of TREATMENT, which
is not necessarily the day the D/C order was written.) On a more positive
note.... if the resident had PT/OT/ST days & mins on last PPS
assessment, but not enough to rug out in a REHAB Category, you don't have to do
an OMRA, because all an OMRA does is reset the payment scale so that you're
not still recieving the high rehab $$$$ once rehab has ended. If you end up
having to do an ORMA, and your OMRA days are within the time frame for the 30
day, combine them.
-----Original Message-----I could use some advice...here is a scenario I've never come up against. I have a resident with an order for PT and OT. She is also going out of the facility monday to friday for radiation tx. She has been too weak and has been refusing rehab for the past two weeks. The window for her 30 day PPS assessment is 10/27 to 11/04. She had no rehab 10/21, 10/22, 10/27-11/04. PT was d/c'd 11/6, OT d/c'd 11/7 due to her inability to participate. She is still skilled for unstable condition, lab work is way off, etc... My question is do I have to do a 30 day then do an OMRA? Resident technically had no rehab since 10/24 and will not score in a rehab RUG for the 30 day. Or ... can I combine the 30 day with the OMRA ?
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED]
Sent: Sunday, November 09, 2003 9:58 PM
To: [EMAIL PROTECTED]
Subject: Question re OMRA
Thanks for any advice,
Amanda Roth RN,C RAC-C
