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Thank you Carol. OMRA in this case was very
confusing to me. Now I GOT IT. Your answer is very helpful. Bogda
----- Original Message -----
Sent: Thursday, December 18, 2003 11:52
PM
Subject: Re: Sig.Change
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 -----
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 -----
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]
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