Re: OMRA Question

[KDeniseSRN]

An ORMA is not needed until all therapy has stopped and you are billing at a Rehab rate. My questions are - Is Speech being provided five days a week, if not are they providing 3 days a week? Isn't PT or OT going to put the resident into a restorative program? If not, why not? The restorative programs do not have to be related to speech to be counted (I may have misunderstand that part). Are you in a window for an MDS assessment if not you will not have to complete an OMRA since speech is still being provided, but if you are in a window and restorative is going to be started after PT or OT end maybe you can flex your ARD to capture speech and restorative. Sorry for all the questions, but there are so many thoughts. What does everyone else think? Question for the group - I am sure we've discussed this before but I can't remember the answer.  We have a resident who will finish PT/OT 12-24-03---ST is to continue until some time in February  ---  she also has a peg tube --- there won't be 2 restorative programs to group her for rehab with the speech therapy  --  code the assessment an OMRA to change the rugs score, even though there will be ST  on there?????    Thanks for any replies...    Patti