OMRASOnline Music Recognition and Searching
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No discontinuation of therapy services (planned or unplanned discontinuation of all rehabilitation therapies for three or more consecutive days) occurred between Day 1 of the COT observation period for the COT OMRA that classified the resident into his/her current non-therapy RUG-IV group and the ARD of the COT OMRA that reclassified the resident into a RUG-IV therapy group.
Under these circumstances, completing the COT OMRA is optional, meaning that completing the COT to get a resident back into a therapy RUG is not required.
The ARD of the COT OMRA must be day 7 of the COT observation period, which is a rolling 7-day window beginning the day after the ARD set for the most recent scheduled or unscheduled PPS assessment.
If the therapy provided was at a level high enough to change the RUG, the COT OMRA must be completed, using day 7 of the COT observation window as the ARD.
Since the Rehab Very High RUG pays more than the HE2 RUG, the COT OMRA must be completed in order to place the resident into the correct Rehab RUG.
The PPS 5-day or readmission/return assessment may be completed alone or combined with the SOT OMRA.
The ARD (A2300) of the SOT OMRA must be on or before the eighth day of the Medicare Part A stay.
In that case, the facility would have the option of doing a SOT OMRA with an ARD of day five, six, or seven after the start of therapy (day nine, 10, or 11 of the Part A stay in this example) to capture more days of therapy.
Another change in the MDS requirements with MDS 3.0, according to the Final Rule, is an overhaul of the OMRA required when therapy ends and the resident will continue to receive Part A services for skilled nursing.