Re: Question re OMRA - Excerpt from the RAI MAnual

[Caralyn Davis]

Just as an FYI, if it helps:   RAI User's Manual Chapter 2, Section 2.9, Factors Impacting the SNF Medicare Assessment Schedule, pages 2-38 and 2-39:   Resident in a Part A Stay Begins Therapy Adding therapy services to the treatments furnished to a beneficiary in a Part A stay does not automatically require a new assessment. However, if the therapy was added because the beneficiary experienced a significant change, an SCSA must be completed. In this case, the primary reason for assessment would be a SCSA (A8a =3). If the SCSA is done during a Medicare assessment window, the SCSA can be combined with a regularly scheduled Medicare assessment. If the SCSA is not within a Medicare assessment window, the Medicare reason for assessment should be coded as AA8a =3 and AA8b =8,Other Medicare Required assessment.   ----- Original Message ----- From: carol maher To: [EMAIL PROTECTED] Sent: Wednesday, November 12, 2003 11:35 PM Subject: Re: Question re OMRA - Excerpt from the RAI MAnual Glenn, where in the RAI Manual can I find the underlined quote?   Thanks. ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] 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