An OMRA is NOT done when therapy starts.  OMRAs are only appropriate when all therapies end and the previous RUGS score was in a rehab RUGS group.  An OMRA is done no sooner than 8 and no later than 10 days after therapy ends and the resident continues to require skilled services for something other than therapy.
----- Original Message -----
Sent: Monday, November 10, 2003 5:37 PM
Subject: Re: Question re OMRA

In a message dated 11/10/2003 10:43:21 AM Eastern Standard Time, [EMAIL PROTECTED] writes:
An OMRA is required only if the resident is staying on Medicare after ALL rehab is d/c'd.
As a side note:
 
An OMRA is also done if you are placing a resident back onto rehab services.  The other stipulation is to do a Significant change as well if there was a decline in function from the initial discharge of rehab services.
 
Glenn Gorleski (Barnes) RAC-C
Case Manager, MDS Coordinator
Quality Assurance Nurse

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