Re: Sig.Change

[carol maher]

Bogda, When you are doing the Significant Change outside of a window, the assessment is CODED as a Significant Change AA8a=3 and AA8b=8.  This is the only time that you can code an 8 in AA8b other than doing an OMRA for discontinuation of therapy.  The second paragraph from the RAI manual that Rena was quoting pg2-39 states, "Currently there is no way to code that a SCSA perfromed outside the assessment window is a Medicare assessment.  Until this problem can be corrcted, code AA8a-3 to show the SCSA and AA8b=8 to indicate that the record is a Medicare assessment.  This procedure is an exception to the rule that OMRAs are performed only to show discontinuation of thereapy for residents ina RUG-III Rehabilitation Classification.  In some circumstances, an SCSA can be used as an OMRA and a scheduled Medicare assessment." ----- Original Message ----- From: Bogda Habich To: [EMAIL PROTECTED] Sent: Wednesday, December 17, 2003 3:08 PM Subject: Re: Sig.Change The resident is doing better, remains on therapy, will OMRA be appropriate? Bogda ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, December 17, 2003 11:16 AM Subject: Re: Sig.Change When a Significant Change in Status Assessment is completed for a Part A resident outside the window of a regularly scheduled PPS assessment, it must be dually coded AA8a=3, SCSA, and AA8b=8, OMRA.  See page 2-39 of the RAI User's Manual, 2nd paragraph under "Combining Assessments." Rena Subj: Sig.Change Date: 12/16/03 7:42:29 PM Pacific Standard Time From: [EMAIL PROTECTED] Reply-to: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent from the Internet The last 60 day assessment was pone 12/04/03 and submitted. t present the resident started to deteriorate. How should I code this.Please help. Bogda. Rena R. Shephard, MHA, RN, FACDONA, RAC-C Chair, American Association of Nurse Assessment Coordinators [EMAIL PROTECTED]