Sandy,
An OMRA is not done when therapy is started, only when therapy was discontinued. Since your RUG group before the ST started treating would have been a nursing RUG, another OMRA is not required when Speech therapy ends. An OMRA is only required if the previous RUG was a therapy RUG; See page 2-31 "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 dsicontinuation of therapy."
-----Original Message-----
From: sandy root <[EMAIL PROTECTED]>
Sent: Mar 31, 2004 11:11 AM
To: [EMAIL PROTECTED]
Subject: OMRA again?
-----Original Message-----
From: sandy root <[EMAIL PROTECTED]>
Sent: Mar 31, 2004 11:11 AM
To: [EMAIL PROTECTED]
Subject: OMRA again?
Would you do an OMRA if you had this scenario? On 3/17 an OMRA (replacing a 30 day), was done as PT and OT had dc'ed their service. Then from 3/22 to 3/27 ST picked up the resident to see about advancing this person's diet. There was no sig change. Since the resident's rug rate was already a post OMRA rate, is there really a point in doing another OMRA? Thanks All
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