Re: OMRA question

[carol maher]

I agree with the other responses and just want to add the coding information.  On page 6-5 of the RAI manual, the instructions regarding how to code an OMRA replacing a 30 day are "For example, if an OMRA is required during the assessment window for a medicare 30-Day assessmetn (i.e., days 21-34), the SNF is required to perform only one assessment.  There is no way to code two Medicare Reasons for Assessment.  The combined OMRA/30-day Medicare assessment is coded on the MDS as an OMRA and identified on the Part A billing by using a HIPPS code of "28."  The combined assessmetn can then be used when billing the Medicar claim."


-----Original Message-----
From: Nancy Kavleski <[EMAIL PROTECTED]>
Sent: Mar 1, 2004 9:04 AM
To: [EMAIL PROTECTED]
Subject: OMRA question

I know I asked this before but I never saved the information... WHen doing an OMRA do you pick up with the last assessment done? Ex: 5day, 14day, OMRA, 30day... or do you do the OMRA in place of the next assessment due? Ex 5day, 14day, OMRA, 60day Are you able to combine and OMRA with a PPS assessment, if so how would you code say an OMRA with a 30day?? Thanks in advance

Nancy Canady <[EMAIL PROTECTED]> wrote:

I am at a hospital-based SNF.  The hospital has started doing cultures for MRSA and VRE on all patients that are admitted

from a nursing home because we had so many patients that their facility refused to take them back until the MRSA/VRE was cleared up.  What we discovered is that a majority of these residents brought MRSA/VRE with them, so we do not have the problems of getting them back to the facility that we had prior to this practice.  The hospital felt it was cheaper to do the cultures than to have then in our hospital or SNF unit. 

 

 -----Original Message-----
From: gayleneland [mailto:[EMAIL PROTECTED]
Sent: Sunday, February 29, 2004 3:16 PM
To: [EMAIL PROTECTED]
Subject: Sputum MRSA +

Long term resident of SNF (has been a resident of this facility for greater than 20 years) is sent to hospital with pneumonia.  MRSA+ sputum is cultured out.  Patient is ready to return to SNF but now the SNF is refusing to take him back stating he "wanders" (although he is wheelchair bound) and presents a health risk to the other residents.

 

What do you see as options the hospital has to get the resident back to his home at the facility?

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