Karen, You are correct in this case if you are going to carry the resident on Medicare skilled by nursing. An OMRA is not necessary since the resident did not RUG into a rehab level for the 30 day. An OMRA would just be extra work and if you RUGed into a lower category for the OMRA it would just decrease your payment unnecessarily.

 

 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent:
Tuesday, February 03, 2004 12:41 PM
To: [EMAIL PROTECTED]
Subject: Re: omra

 

In a message dated 2/3/2004 12:03:26 PM Eastern Standard Time, [EMAIL PROTECTED] writes:



Hi all,
Patient had a 30 day done with ard of 1/26 with a rug of SSA
All therapy was dc on 1/26. Am I correct to think I do not have to do
an omra because the patient was not in a rehab score?
Thanks,
Karen



if the patient remains on medicare secondary to nursing matters, then an omra should be done.  If therapy was the only skill, we generally wait 5 days to see that they continue with progress then dc them from medicare.

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