Re: biliary tube/omra/bacteremia (Rena help please)

[Jeanne]

The assessment reference date of the OMRA must be set on day 8, 9, or 10 after the last day any rehabilitation therapy services were provided. This timing ensures that no therapy minutes will be captured on the OMRA and that the beneficiary�s new classification will be into one of the non-therapy RUG�III groups. An OMRA will always result in classification into a non-therapy RUG� III group. For the days between the cessation of rehabilitation therapy and the assessment reference date of the OMRA, the beneficiary continues to be covered at the therapy RUG�III group level to which he or she was classified before cessation. This is from the 41656 Federal Register / Vol. 64, No. 146 / Friday, July 30, 1999 / Rules and Regulations.  Jeanne ----- Original Message ----- From: Jeanne To: [EMAIL PROTECTED] Sent: Tuesday, February 03, 2004 3:55 PM Subject: Re: biliary tube/omra/bacteremia (Rena help please) The previous MDS will only pay through day nine so you would be out the payment for day 10. Now I know you will want source documentation for that so I will look and try to find it. Jeanne  ----- Original Message ----- From: Michelle Witges To: [EMAIL PROTECTED] Sent: Tuesday, February 03, 2004 10:25 AM Subject: Re: biliary tube/omra/bacteremia (Rena help please) If the patient d/c's on day 11, you don't charge for day of d/c so you would not be out 1 days pay.  If I am understanding all of this correctly. Michelle   ----- Original Message ----- From: Jeanne To: [EMAIL PROTECTED] Sent: Monday, February 02, 2004 8:56 PM Subject: Re: biliary tube/omra/bacteremia (Rena help please)  I deleted the original email here so if the question is a resident remained skilled but discharged 11 days after all therapies were discontinued then why would you need an OMRA?  Since the payment changes on the ARD if you didn't complete the OMRA on day 10 and then the resident discharges from your facility on day 11 you will be out one days payment. Jeanne     ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, February 02, 2004 9:36 PM Subject: Re: biliary tube/omra/bacteremia (Rena help please) 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.  Explain please. What does this mean?