The patient's marital status at the time of admission.
The 5-digit ZIP code of the patient's pre-hospital residence.
The OMRA (Other Medicare Required Assessment) must be completed only if the patient was in a RUG-III Rehabilitation classification and will continue to need Part A SNF-level services after discontinuing therapy.
A decline or improvement in a patient's status that will not normally resolve itself without intervention by staff or by implementing standard disease-related clinical interventions, impacts on more than one are of the patient's health status or required interdisciplinary review or revision of the plan of care.
A code used to identify a SB-MDS assessment required by a state Medicaid swing bed program.
A code using to identify a SB-MDS assessment completed for other payers, such as a Health Maintenance Organization (HMO) or other Medicare Secondary Payer (MSP).
The date that the patient begins receiving Part A covered Medicare services in an inpatient rehabiliation facility.
The admission date of the qualifying 3-day hospital stay that occurred before admission to the swing bed for Part A SNF-level services.
The third calendar day of the rehabilitation stay, which represents the last day of the 3-day admission assessment time period. These three calendar days are the days during which the patient's clinical condition should be assessed.
The patient's admission classification.
The patient's living arrangements prior to admission and the presence or absence of home health services if the patient was in a private home or apartment.
The patient's living arrangements after discharge and the presence or absence of home health services if the patient is in a private home or apartment.
Indicates the patient's living arrangement prior to reentry for swing bed services.
The living setting from which the patient was admitted to rehabilitation.
The setting where the patient was living prior to being hospitalized.
The relationship of any individuals who resided with the patient prior to the patient's hospitalization. This item is used only if code 01 (Home) in Item 16 (Prehospital Living Setting) was coded.
Indicates the vocational status of the patient prior to hospitalization.
The patient's vocational effort prior to hospitalization (if Item 18 - Pre-hospital Vocational Category is coded 1-4).
Facility Medicare Provider Number assigned by CMS.
A code indicating the primary source of payment for inpatient rehabilitation services.
A code indicating the secondary source of payment for inpatient rehabilitation services.
The Impairment Group Code (IGC) that best describes the primary reason for admission to the rehabilitation program. Each IGC consists of a two-digit number (indicating the major Impairment Group) followed by a decimal point and 1 to 4 additional digits identifying the subgroup.
The Impairment Group Code (IGC) that best describes the primary impairment at discharge from the rehabilitation program. Each IGC consists of a two-digit number (indicating the major Impairment Group) followed by a decimal point and 1 to 4 additional digits identifying the subgroup.
The ICD-9 code that indicates the etiologic problem that led to the impariment for which the patient is receiving rehabilitation (Item 21 - Impairment Group).
The onset date of the impairment that was coded in Item 21 (Impairment Group).