Re: omra 8 9 10

[Jeana Lundeen]

If you do an OMRA in combination with a significant change, the new payment rate will start with the ARD, whatever day you set. You just have to ensure that you are within the guidelines for both OBRA and Medicare timelines. Like you say whenever possible, set your day for day 10 as the rate will almost always be lower with the new assessment. You wouldn't do an OMRA even with D/C of therapy unless the person was receiving a rehab RUG. And with index maximization, if the person qualified for another RUG that was higher paying they would have been receiving that instead of the rehab RUG, unless there was a treatment or condition change since the last assessment that will put them in a higher RUG. In that case, you would want to set your ARD, the sooner the better.   Jeana ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, May 02, 2004 12:03 AM Subject: omra 8 9 10 hello all,                  I was told to set my omra date at day 10 whenever i could to continue to get paid higher rug rate as payment changes with ARD.  it would be foolish to chose day 8 or 9 by what i was told. Now i think i saw reference in something i read that states payment changes on day 8 regardless of setting date on day 9 or 10. also isn't there something about if ARD after billing block ends will revert back to regularly scheduled change day. hope someone out there can end my confusion.                                               as always, thanks for your help                                                                 terry @vc