MD-Calvert Manor Healthcare Center

Document ID: CMS-2011-0060-0006
Document Type: Public Submission
Agency: Centers For Medicare & Medicaid Services
Received Date: May 12 2011, at 12:00 AM Eastern Daylight Time
Date Posted: May 13 2011, at 12:00 AM Eastern Standard Time
Comment Start Date: May 6 2011, at 12:00 AM Eastern Standard Time
Comment Due Date: June 27 2011, at 11:59 PM Eastern Standard Time
Tracking Number: 80c75e55
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This is comment on Proposed Rule

Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities, etc.(CMS-1351-P)

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I understand the Change Of Therapy (COT) OMRA is to be completed if there is a deviation in the therapy minutes provided every 7 days which would cause the patient to fall into a different rehab RUG category. However, is a COT OMRA also required if the patients ADL index changes during that 7 day period which would potentially push them into a higher or lower RUG score within that RUG category and ultimately a different payment?

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TN-Care Centers Management, Consulting
Public Submission Posted: 05/12/2011 ID: CMS-2011-0060-0004