Re: 30 day assessment

[Holly Sox, RN, RAC-C]

Okay, The difference involves the last treatment day and when the OMRA is to be scheduled.  You are looking at 2 different calendars, and the requirements for both must be met. The 30 day assessment ARD can fall on days 21-29, with days 30-34 being grace days.  The ARD of the OMRA must fall on days 8-10 following the last day of treatment by PT, OT, or ST.  If day 8,9, or 10 following last tx day fall in the window of days 21-34, then you can use the OMRA to replace the 30 day.  The payment rate changes on the ARD of the OMRA, or day 31, whichever is earlier. (I think that I am correct on the payment date, but if anyone has a reference to refute that, then I concede) If you cannot get the ARD of the OMRA to fall within the assessment window, then you must do 2 separate assessments.  This is where it really helps to have open communication with your rehab manager, and the regular medicare meetings to discuss which residents are leveling off and may be ready for d/c.  We frequently plan the d/c date in order to get the OMRA date to fall in the window.     Hope this helps. Holly       Holly F. Sox, RN, RAC-C  Clinical Editor, Careplans.com www.careplans.com [EMAIL PROTECTED] ----- Original Message ----- From: June Brunelle To: [EMAIL PROTECTED] Sent: Monday, March 08, 2004 6:39 PM Subject: Re: 30 day assessment I also have a simalar situation, but I was told that if the therapy is discontinued during the 30 day, all you have to do is an OMRA.  According to the response here. I do the 30 day and then 8-10 days later do the OMRA.  I am new at skilled and obviously still confused. June ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, March 07, 2004 8:15 PM Subject: Re: 30 day assessment In a message dated 3/3/04 11:02:46 AM Eastern Standard Time, [EMAIL PROTECTED] writes: Hi group, I have a resident that will come off medicare 3/3/04 (his 31st day of stay). He will receive therapy today (3/3). Do we still need to complete his 30 day assessment to get paid for his 31st day of stay? Andrea. Yes.  And if he continues to receive any other skiller, an OMRA is due 8-10 days after the last day of therapy in order to change the RUG level for billing.  Any chance of therapy reducing him to 3days a week and letting restorative pick up the balance for a week?  Will get you a rehab low for longer period of time.  Just a thought.   Sherri