Glenn, where in the RAI Manual can I find the underlined quote?
Thanks.
----- Original Message -----
Sent: Tuesday, November 11, 2003 3:48
AM
Subject: Question re OMRA - Excerpt from
the RAI MAnual
In a message dated 11/10/2003 10:49:12 PM Eastern Standard Time,
[EMAIL PROTECTED]
writes:
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.
If the resident is still on Medicare Part A services (has completed
therapies and D/C'ed and now is on a Nursing RUG), has a decline in
function, is screened by rehab services, and is appropriate for rehab
services, then an OMRA is done to place back onto a rehab RUG Level.
From the RAI MANUAL:
Other Medicare Required Assessment OMRA
An assessment required when a Medicare Part A resident that was in a
RUG-III Rehabilitation Classification, continues to require skilled care after
all therapy is discontinued. This assessment is to be done 8-10 days after the
cessation of therapies in order to re-calculate the RUG Classification from a
therapy RUG to a non-therapy group. An OMRA may also be used in
the situation where a significant change in status occurs for a Medicare
resident outside a Medicare assessment window. AA8b is coded 8 for these
assessments.
Glenn
Gorleski (Barnes) RAC-C
Case Manager, MDS Coordinator
Quality Assurance
Nurse
