Okay, Rena- the
lightbulb just went off in my stopped up, coughing head. I have a
terrible cold and this finally hit me. If you do not do the OMRA, then
you would not get paid for at least day 10, right? I got it!!!!!
Brenda W. Chance, RN, RAC-C
MDS Coordinator
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-----Original Message-----
From: Brenda Chance
Sent: Monday,
February 02, 2004 1:49 PM
To: '[EMAIL PROTECTED]'
Subject: RE: biliary
tube/omra/bacteremia (Rena help please)
I see that
now. But if the resident is discharged on day 11 after therapy d/c
and this is expected, what would be the purpose in doing the OMRA if you set
the ARD with day 10 which would be your medicare d/c date?
Brenda
W. Chance, RN, RAC-C
MDS
Coordinator
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-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]
Sent: Monday,
February 02, 2004 1:39 PM
To: [EMAIL PROTECTED]
Subject: Re: biliary
tube/omra/bacteremia (Rena help please)
Page
2-29.
Rena
Subj:
RE: biliary tube/omra/bacteremia (Rena help
please)
Date: 2/2/04 10:08:55 AM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet
Rena,
I am a little confused by answer 2.
The manual states on pg 2-31 that the ARD for an OMRA may be days 8, 9, or 10
after therapy is discontinued and the resident continues to need skilled
nursing care. If the resident was discharged on day 11 after therapy d/c,
then the last covered medicare a day would be day 10 after therapy d/c.
Why would you need to do an OMRA? Where did you find your response in the
manual?
Brenda W. Chance, RN, RAC-C
MDS Coordinator
CONFIDENTIALITY NOTICE: This e-mail message,
including any attachments,
is for the sole use of the intended
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and privileged information. Any unauthorized
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-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]
Sent: Monday, February 02, 2004 12:48 PM
To: [EMAIL PROTECTED]
Subject: Re: biliary
tube/omra/bacteremia (Rena help please)
Please see my responses to your first two questions after
each question.
Rena
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]
Date: 2/2/04 8:47:01 AM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet
Hi everyone, I have several questions:
1) Is biliary tube considered an ostomy?
No, a biliary tube is not an ostomy.
The RAI User's Manual defines ostomy for Item H3i, Ostomy Present, as "any
type of excretory ostomy of the gastrointestinal or genitourinary
tract." This is consistent with the definition from the
International Ostomy Association: "The word ostomy signifies a type
of surgery required when a person has lost the normal function of the bladder
or bowel due to birth defects, disease, injury or other disorders. Such
operations include colostomy, ileostomy and urostomy. The surgery allows for
normal bodily wastes to be expelled through a new surgical opening (stoma) on
the abdominal wall. Most persons with ostomies must wear special appliances
over the stoma. An ostomate is a person who has had ostomy surgery.'Related
surgeries' are surgeries of the bowel or urinary system that correct birth
defects, illness or injury while preserving continence".
2) Omra is due on the 8,9,10 but pt. is discharged on the 11th day.
Do we need to do an OMRA?
The manual specifies that it is not required if the resident is discharged from
Medicare prior to day 8. So, the answer to your question is
"yes."
3) Where do we code bacteremia? Sorry, I have posted this question 3
times and didn't get an answer.
This one is for a Medical Records coder.
Thank you.
