I believe the OMRA can be no later than the 10th day after therapy d/c'ed, therefore an OMRA should have been completed on day 10 and it should have been billed at the OMRA rate on the last day of the stay.
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? 

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