OMRA

So now half the IDT is saying OK, whatever, the other half is saying we should have kept the OMRA in place. In the manual it only mentions doing an OMRA when therapy is d/ced, but it is an Other Medicare Required Assessment, so whats the deal? What do you guys do?

I wasn't actually thinking let me grab us some $$. Thanks for the answer, but being called a money grabber just rubbed me the wrong way. Its not like I put it in my pocket.......I wish I got a percentage, lol.

Inactivating the 2nd OMRA was the correct action. Since you're performing an MDS outside an assessment window, the only way to get the Rehab RUG is to code the MDS as Sig. Change (AA8a =3) and OMRA (AA8b = 8). However, the criteria for Sig. Change must also be met. If not, you will have to wait for the next assm't window to capture therapy. Hopefully, this scenario does not occur too often, so look at the brighter side - when you do an OMRA, CMS still pays you up to 10 days of the Rehab RUG even tho' therapy was not provided anymore.

In my state, we can also pick this up with an early quarterly for our case mix. Does not have to be a significant change



The MDS coordinator should get a percentage! A bonus, that is. In case mix states, a coordinator's mindset of maximizing reimbursement is sought after by facility operators. As long as the guidelines are adhered to, I cannot fault the industry for taking advantage of that opportunity. Only the state is to blame for creating loopholes.