Eli's Rehab Report
COT OMRA Requirements
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Question: If a Change of Therapy (COT) is required and due on Day 15, which is also the 14 day assessment, does a COT OMRA (Change of Therapy Other Medicare-Required Assessment) have to be completed?
Answer: If the ARD for an unscheduled assessment falls within the window of a scheduled assessment, they must be combined if the scheduled assessment has not already been completed. However, it is the facility’s choice to do a COT if the 7th day of the COT observation falls on the ARD for the scheduled assessment. In this case, the scheduled assessment starts the count over on the day after the ARD.
If Day 7 of the COT observation period falls within the ARD window of a scheduled PPS Assessment, the SNF may choose to complete the PPS Assessment only, resetting the COT observation period to the 7 days following that scheduled PPS Assessment ARD (2-50).
"Note: if the RUG payment will increase, it is suggested that a COT OMRA be completed."
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COT OMRA Requirements
Question: If a Change of Therapy (COT) is required and due on Day 15, which [...]