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If you set the ARD correctly,
you should only have to do one. If the ARD of the OMRA meets both requirements
(day 50-64 AND 8-10 after thereapy) you can code it as a 0/8 and have the
billing people put the HIPPS modifier to indicate it is an OMRA replacing a 60
day (sorry I don't remember what the correct code is...38 maybe).
Nathan
----- Original Message -----
Sent: Wednesday, April 07, 2004 8:26
PM
Subject: Re: OMRA
Nathan. Thank you for
your response and I am glad I asked because as you pointed out I would still
need to do the 60 day assessment as she remains skilled as well as doing the
OMRA. I don't know where my brain was at but sure am glad there are others
around to keep me doing what I need to be doing. Again thank you.
I will be doing the OMRA on 4/19/04 as that will be day 10 for the OMRA and
day 63 for the 60 day.
----- Original Message -----
Sent: Wednesday, April 07, 2004 10:01
PM
Subject: Re: OMRA
Since the ORMA will be taking the
place of the 60 Day, you just make sure the OMRA has an ARD on or before day
64 AND 8-10 days after the therapy is D/Cd.
If I am counting right, that
means it needs to be between 4/17/04 and 4/20/04.
Nathan
----- Original Message -----
Sent: Wednesday, April 07, 2004 7:42
PM
Subject: OMRA
Question for the group. I have a res in an observation period
with ARD of 4/11/04 for her 60 day assessment. Day 60 isn't until
4/16/04. Therapies are d/cing from skilled on 4/9/04 but she will
remain skilled due to a surgical wound that dehisced and is getting daily
dressing changes with weekly MD visits. It is my understanding that
I would not need to do the 60 day assessment as therapies will be done
prior to her actual day 60 but that I will need to do an OMRA assessment
between 8-10 days after last day of therapies to reset to a rehab rug
level. I just want verification that this is what others would
do. Thanks and Have a great Easter everyone! Janice,
BSN, RAC-C
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