Yes you would pick up where you left off.  However, in the scenario you gave it is possible that day 8 – 10 after therapy was dc’d overlapped the assessment reference date window for the 30Day assessment, if that is the case, then the OMRA could be combined with the 30Day assessment.

 

RAI Manual 2-31

8.         Other Medicare-Required Assessment - The OMRA is completed only if the resident was in a RUG-III Rehabilitation Classification and will continue to need Part A SNF-level services after the discontinuation of therapy. The last day in which therapy treatment was furnished is day zero. The OMRA ARD (Item A3a) must be set on day eight, nine, or ten after all rehabilitation therapies have been discontinued. The OMRA must be completed (Item R2b) within 14 days of the ARD. The OMRA will establish a new non-therapy RUG-III group and Medicare payment rate. The MDS records must be submitted electronically, and will be considered timely if submitted and accepted into the database within 31 days of completion (Item R2b). If the OMRA falls in the assessment window of a regularly schedule Medicare assessment, code the assessment as an OMRA to affect the change in payment status.

 

It is important to remember that if you are doing a combined OMRA with an on cycle assessment then the HIPPS code will reflect that combination and the MDS will be coded as an OMRA.

 

Roberta S. Cline, MS, LNHA, RAC-C

Consultant

Pathway Health Services

2025 Fourth Street

White Bear Lake, MN  55110

C:  651-260-6940

e-mail: [EMAIL PROTECTED]

 

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-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Nancy Kavleski
Sent: Thursday, February 12, 2004 10:40 AM
To: [EMAIL PROTECTED]
Subject: OMRA question

 

Resident is discharged from therapy.  Omra ARD 8-10days later.  THen do you pick up where you left off?  Example: 5day, 14day, OMRA, 30day...

thanks

 



 


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