CMS has issued the following guidelines for End of Therapy OMRA’s.
“An End of Therapy (EOT) OMRA would require a change in the RUG’s level for selected days. An EOT OMRA is required if there are 3 missed days with no therapy from any discipline. For the EOT OMRA followed by a SOT OMRA, the 3 or more missed days are billed at the NC RUG’s level.”
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Therapists are responsible for compliance with the Correcting Coding Initiative. These compliance rules have complex guidelines on how “therapists” should apply modifiers to CPT codes provided. These rules are especially complex when treatments are provided by more than one discipline or for other special conditions. If modifiers are missing when these conditions are present, then the charges will be denied. These errors are costly both in terms of lost revenue and the time needed to research, re-bill, and recover that lost revenue.
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