MDS Alert
Beware--Auditors Can 'Stumble' Across Your OMRA Missteps
Don't let undetected snafus wreak havoc.
An unintentional pattern of errant OMRAs that tip the payment scales in your facility's favor can turn into a major compliance headache. "For example, an FI selected one facility for a probe review due to its high volume of Medicare days and ultra-high rehab residents," says Theresa Lang, RN, BSN, PHN, RAC-C, WCC, a consultant with Specialized Medical Services in Milwaukee. "But the reviewers are identifying OMRAs that should have been done--or that were done incorrectly--in ways that benefited the facility," Lang tells Eli. "In another case, the OIG has gone onsite and copied charts related to inappropriate OMRAs."
A facility's problems with the OMRA are often due to a disconnect between the clinical and billing side, in the experience of Nancy Augustine, RN, MSN, a consultant with LTCQ Inc. in Lexington, MA, who has done audit work for the OIG. (For strategies to ensure your facility bills OMRAs correctly, see the April 2006 MDS Alert.)
MDS Alert
- Medicare:
Don't Let OMRA Confusion Throw You For A Loop
Follow these decision-making pointers.
When a rehab resident's therapy treatment ends, the decision-making begins for whether [...] - Medicare:
Beware--Auditors Can 'Stumble' Across Your OMRA Missteps
Don't let undetected snafus wreak havoc.
An unintentional pattern of errant OMRAs that tip the payment [...] - Risk Assessment:
The Right Risk Score Doesn't Mean You're Home Free In Preventing Ulcers
Look for the 'rest of the story' in assessing a resident's risk.
A risk score on [...] - Resident Assessment Protocols:
Tap The RAP To Stay One Step Ahead Of Pressure Ulcer Risk
Double-check coding for MDS triggers.
Don't fall in the trap of not working the pressure ulcer [...] - Clip 'N' Save:
Before You Call Your Risk Assessment A Wrap, Check Out The Pressure Ulcer RAP
PRESSURE ULCERS CARE RAP KEY TRIGGERS
Pressure ulcer present or risk for occurrence if one [...] - Risk Assessment:
Cover Your Risks--Compare Standardized Assessment Tools
Are you augmenting assessments with individualized data collection?
Check out the different pressure-ulcer risk territory covered [...] - In The Spotlight:
Jump Hurdles To Achieve Optimal Therapy Outcomes, Fair RUG Payment
Put everyone's piece of the care, fiscal equation on the table.
If your facility wants to [...] - Medicare:
Double-Check Therapy Days In the Lookback
Keep your days, minutes straight at P1b.
"Eight Days a Week" is not enough to show [...] - Resident Assessment:
An ADL Decline Detected In Time Can Save Your Survey Record And Bottom Line
Use this simple strategy to catch a resident's significant change.
If you don't spot Medicaid residents [...] - Coding Quizzer:
Master Coding Wounds In Section M
How would code this resident's ulcers?
Mr. C has diabetes and poor circulation to his lower extremities. [...] - Clip 'N' Save:
Know The Difference Between Supervision, Limited And Extensive Assistance
The key to coding is in the definitions.
A little review never hurt anyone coding ADLs, [...] - Test Yourself:
Nail Down When To Do A Significant Change Assessment, An OMRA--Or Both
How would you handle these therapy scenarios?
Rehab therapy patients who improve during their treatment may [...] - Continuing Education:
Test Yourself and Earn Free Nursing CEUs
MDS Alert is now offering nurses the opportunity to earn 4.5 contact hours in continuing [...] - MDS & Billing News
Check out the January 2006 RAI manual update. The update includes changes to the triggers [...] - MDS Alert:
First Quarter 2006 CE Offering
TEST QUESTIONS: Directions: Please read the January, February and March 2006 issues of the newsletter [...]
