Fall 2023 Amplify OT and Healthcare Policy Updates {Bonus Episode}This bonus episode is outside of our regularly scheduled content but I wanted to pop in and give you some updates and let you know about policy changes going into effect. Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.The updates I cover in this episode include:Amplify OT updates: membership enrollment open, programs available for students, OT Amplifier series, prompted journals.  Kevin McCarthy was removed from his position as Speaker of the House of Representatives creating a temporary pause in the passing of legislation before being replaced by Mike Johnson.Open enrollment is approaching for both Medicare and commercial insurance plans and CMS has implemented policies to review all Medicare Advantage promotional materials for misleading information before they air.We have had the largest healthcare worker strike in US history and looking at the implications and results of this is interesting to sink into.Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokHelpful LinksThe Daily- NYTNPR - Breaking News, Analysis, Music, Arts & Podcasts : NPRThe Weeds - VoxKFF Health News: What the Health?Pulse Check podcast - POLITICOAmplify OT Products on AmazonAOTA Education Summit 2023How to Teach OT and OTA students Medicare and Health Systems • Amplify OTPOLITICO: CMS Rejects More Than 300 Medicare Advantage Ads

Medicare and Medicaid Policy Updates: RUGS, PDPM, MDSIs Medicare No Longer Paying for OT in SNF?I’ve seen a lot of concern on social media and in my DMs about potential significant changes to PDPM in Skilled Nursing Facilities, specifically around Medicare no longer paying for OT in SNF. You can rest assured that there have NOT been any major changes to Medicare Part A for therapy but other changes have been made. That’s why this week on The Amplify OT Podcast, I am talking about updates to PDPM in Skilled Nursing Facilities (SNF) and when these changes are set to take place.Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.The updates I cover in this episode include:CMS finalized that it will no longer support the utilization of RUG payments for Medicaid programs. There have not been any cuts to Medicare Part A SNF funding but rather a 4% increase. Removal of Section G (former ADL section), integrating some items into Section GG (function and self-care).The changing of quality measure scores. Changes and modifications around COVID-19 policies. ICD 10 Code mapping changes for Parkinson's and COVID-19. Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokHelpful LinksMedicare.gov Care CompareAOTA: Major Changes to the Minimum Data Set in Skilled Nursing Facilities Fiscal Year (FY) 2024 Skilled Nursing Facility Prospective Payment System Final Rule - CMS-1779-F | CMSOccupational Therapy in Skilled Nursing FacilitiesAmplify OT: SNF Resources Ep 5: Patient Driven Payment Model (PDPM) in Skilled Nursing Facilities

When OT Can Stand Alone in Home HealthHow many visits does another qualified practitioner have to complete before occupational therapy can stand alone for a Medicare home health patient? This is a question I got asked more than once and wanted to take the time to get to the bottom of this question and address some of the myths around the order of service. That’s why this week on The Amplify OT Podcast, I am breaking down the criteria for OT to stand alone in home health.Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode, I cover:Reviewing the definition of a qualifying service in Medicare Part A.What it means to be able to “stand alone” in home health.Breaking down the policy and answering the question: ow many visits does another qualified practitioner have to complete before occupational therapy can stand alone for a Medicare home health patient?Whether or not it matters what order the therapies go in in order to qualify for home health. Instances where agencies may be hesitant to allow OTs to initiate the start of care.Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokHelpful LinksHome Health Playlist • Amplify OTUltimate OT Skilled Nursing Facility (SNF) and Home Health Guide • Amplify OTAmplify OT • Is OT a Qualifying Service in Home Health?Amplify OT: Can Occupational Therapists Perform the SOC OASIS?Amplify OT • What is PDGM in Home Health?©Amplify OTMentioned in this episode:Join the Amplify OT MembershipAs a exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy. Join the Membership TodayMedbridge Ad LinkNeed CEUs?...

Diving into Deductibles: Untangling the Complexity of Health Insurance PricingDeductibles are an important, yet often misunderstood factor in the American health insurance system. I recently got asked a question from someone wondering if we truly have our health insurance if it doesn't kick in until our deductible is paid. That’s why this week on The Amplify OT Podcast, I am breaking down the reasons deductibles are incorporated into our health insurance plans!Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode, I cover:The difference between a premium and a deductible. The moral hazard and financial hazard arguments as to why we must pay a deductible on our health insurance.The current and ongoing debate over deductibles happening in Congress.Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTok ©Amplify OTMentioned in this episode:Join the Amplify OT MembershipAs a exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy. Join the Membership TodayMedbridge Ad LinkNeed CEUs? Save 40% off on your Medbridge subscription by using code “AmplifyOT” at checkout. Medbridge has great CEUs on Medicare, Reimbursement, and leadership! By using our affiliate code "AmplifyOT" at checkout you support this podcast and our continued work. Thanks for supporting Amplify OT! https://www.medbridgeeducation.com/amplify-otCLICK HERE to save 40% off Medbridge Today!

Billing for Point of Service (POS) DocumentationQuestions around billing are ones I get asked quite often and like any other type of billing, billing  for point of service documentation can be tricky to navigate. The main reason I find that people want to include their documentation or chart review time in their billable time is not that they are purposely trying to defraud someone or do something illegal, but it's typically because they just want their job to recognize the work they did. That’s why this week on The Amplify OT Podcast, I am talking about billing for point of service (or POS) documentation!Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode, I cover:How to advocate for yourself if your employer is pressuring you to report minutes in the billing section that are spent documenting or chart reviewing and not with a patient.Instances where you can and cannot bill for documentation time.The main question you need to ask yourself to determine whether or not you can bill for your POS documentation. Examples of instances where billing for point of service documentation is necessary and when it may be inappropriate. Why you cannot bill for documentation or chart review time when you are not with the patient. Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokLINKS MENTIONED IN THIS EPISODE:MDS 3.0 RAI Manual v1.17.1_October 2019 - reference Page 507 Therapy Minutes11 Part B Billing Scenarios for PTs and OTs | CMS Links to IG Reels on Billinghttps://www.instagram.com/reel/Cw8AAgXuQRJ/https://www.instagram.com/reel/Cw8QWX3xkFU/

Doing Your Due Diligence as a Licensed OT Practitioner with Raphie WagnerYou hear me preach on the podcast all the time about doing your due diligence in order to protect your license. We’re going to drive this point home in today’s episode as our guest, Raphie Wagner learned firsthand the consequences of not doing her due diligence as an OT. That’s why this week on The Amplify OT Podcast, I am talking about doing your due diligence as a licensed OT practitioner. Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode, Raphie and I cover:How Raphie’s lengthy career as an OT in many settings has shaped her perspective of the profession as a whole.Doing your own due diligence on policies and license requirements, NOT just trusting your employer in doing theirs.   The mistake that cost Raphie $20,000, countless hours, and a disciplinary action that is connected to her license still to this day. A word of caution for any new grads considering entering into the travel space.Having your own liability insurance to fall back on to protect yourself. The huge importance of getting involved in your state association. Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokCONNECT WITH RAPHIE WAGNER:Instagram @otraphie  ©Amplify OTMentioned in this episode:Medbridge Ad LinkNeed CEUs? Save 40% off on your Medbridge subscription by using code “AmplifyOT” at checkout. Medbridge has great CEUs on Medicare, Reimbursement, and leadership! By using our affiliate code "AmplifyOT" at checkout you support this podcast and our continued work. Thanks for supporting Amplify OT! https://www.medbridgeeducation.com/amplify-otCLICK HERE to save 40% off Medbridge Today!Join the Amplify OT MembershipAs a exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and...

How Management Shapes Our Perspective: Transitioning Into Director of Rehab with Lauren BurnsStepping into a leadership role comes with its own unique mindset challenges of imposter syndrome, finding balance, and just the adjustment to new responsibilities and perspectives. That’s why this week on The Amplify OT Podcast, I’m joined by Lauren Burns to talk about how management shapes our perspective!Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode, Lauren and I cover:Navigating the transition into a managerial role as a relatively newer grad. Finding the physical and mindset balance of becoming a manager while maintaining OT roles and responsibilities. The value of mentorship in navigating a new role. The benefits of transitioning back into group and concurrent therapy. Advice for anyone looking to step into a more managerial role.Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTok ©Amplify OTMentioned in this episode:Join the Amplify OT MembershipAs a exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy. Join the Membership TodayMedbridge Ad LinkNeed CEUs? Save 40% off on your Medbridge subscription by using code “AmplifyOT” at checkout. Medbridge has great CEUs on Medicare, Reimbursement, and leadership! By using our affiliate code "AmplifyOT" at checkout you support this podcast and our continued work. Thanks for supporting Amplify OT! https://www.medbridgeeducation.com/amplify-otCLICK HERE to save 40% off Medbridge Today!

Decoding Medicare's Alphabet Soup: Medicare PlansIt is no wonder so many people get confused about the difference between Medicare plans as they are only distinguished by a different letter of the alphabet. As an OT practitioner, it is always helpful to know the difference between plans so that you can not only help yourself but so that you can help your patients better understand the plan they have. That’s why this week on The Amplify OT Podcast, I am talking about Medicare plans!Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode, I cover:Defining the differences between Medicare and Medicaid.Covering Medicare Part A, B, C, and D - who is eligible for them, what each of them covers, and anything else you need to know up front.Why Medicare Part C (also known as Medicare Advantage Plans) can be tricky to navigate. Touching on supplemental plans- what they are, who is eligible for them and how they work.  Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTok ©Amplify OTMentioned in this episode:Medbridge Ad LinkNeed CEUs? Save 40% off on your Medbridge subscription by using code “AmplifyOT” at checkout. Medbridge has great CEUs on Medicare, Reimbursement, and leadership! By using our affiliate code "AmplifyOT" at checkout you support this podcast and our continued work. Thanks for supporting Amplify OT! https://www.medbridgeeducation.com/amplify-otCLICK HERE to save 40% off Medbridge Today!Join the Amplify OT MembershipAs a exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy. Join the Membership Today

Direct Access in OT: Do I Need a Physician's Prescription?Another question I often get asked is whether or not occupational therapists need a physician’s referral in order to see a patient. This question primarily comes up in private practice or outpatient settings where the patient can ask for occupational therapy services. That’s why this week on The Amplify OT Podcast, I am talking about direct access in occupational therapy!Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode, I cover:The two questions we must consider when discussing whether or not you need a physician's prescription in order to see a patient Where you can find information on your State Practice Act and why, even if you find information for your state you may still be confused. Walking you through some scenarios to help you better understand and navigate direct access. What you need to know when it comes to direct access for Medicare patients. Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTok ©Amplify OTMentioned in this episode:Medbridge Ad LinkNeed CEUs? Save 40% off on your Medbridge subscription by using code “AmplifyOT” at checkout. Medbridge has great CEUs on Medicare, Reimbursement, and leadership! By using our affiliate code "AmplifyOT" at checkout you support this podcast and our continued work. Thanks for supporting Amplify OT! https://www.medbridgeeducation.com/amplify-otCLICK HERE to save 40% off Medbridge Today!Join the Amplify OT MembershipAs a exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy. Join the Membership Today

2023 Mid-Year OT Advocacy Updates You Can Take Action On TODAYWe are officially mid-way through the year and some exciting things are finally being introduced to Congress. This means we have the opportunity to step up and be an advocate for change within the Occupational Therapy profession. That’s why this week on The Amplify OT Podcast, I am talking about the advocacy updates you can take action on today!Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode, I cover:AOTA will soon introduce Home Health Accessibility Act which if passed would make OT a qualifying discipline in home health.  The Occupational Therapy Mental Health Parity Act has officially been re-introduced into Congress. The Expanded Telehealth Access Act has been re-introduced to Congress listing OT practitioners as being eligible to provide Telehealth under Medicare Part B. The SHARE Act creates a technical fix allowing information to be shared between states and the FBI which is important for the licensure compact. Updates on the Allied Health Workforce Diversity Program asking for funding. HR 1114 (The Long-Covid RECOVERY NOW Act) providing funding to support treatments for patients experiencing the effects of long covid. Breaking down AOTA, APTA, and ASHA’s letter calling out problems on several principals and providing potential solutions moving forward for Medicare Part B! It’s a spicy one!Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!Sign up for the Mastering OT Policy and Medicare LIVE intensive - amplifyot.com/certificationCLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokLINKS MENTIONED IN THIS EPISODE:AOTA joins with APTA, ASHA and APTA private practice to release policy principles for outpatient therapy reformApplying the OTA and PTA Modifier (CO/CQ) for Medicare Part BAOTA Take Action Page:

Inspiring Innovation: OT in Tech, DME and Entrepreneurship with Dr. Brandy ArchieAs a practicing OT, you know the importance and value that obtaining the necessary DME and adaptable equipment has on reaching your patient's goals. Unfortunately, it can be a challenge to find and obtain the right equipment especially when dealing with insurance claims. Today’s guest Dr. Brandy Archie recognized this problem and created Ask Samie to help patients get the right adaptable equipment in an easy and stress-free way. That’s why this week on The Amplify OT Podcast, my guest Dr. Brandy and I are talking about inspiring innovation: OT in tech, DME, and entrepreneurship. Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode, Dr. Brandy and I cover:Why occupational therapists make for great entrepreneurs. How Ask Samie helps patients, family members, and clinicians easily find the right adaptable equipment without the guesswork. Resources to walk you through the steps and provide prompts to get equipment covered by your insurance. Leveraging your documentation as a way to show your skilled and professional knowledge and to better help patients get the equipment they need.Understanding the laws so you can provide more options to your patients. How the Licensure Compact could open up a useful opportunity for businesses. Free OT Reimbursement Podcast PlaylistWhat to keep learning about insurance and reimbursement without wasting time? Head HERE to get your free OT Reimbursement Playlist and Guide!CLICK HERE to save 40% off Medbridge Today! Looking for more policy info? Check out our articles at www.amplifyot.com/articles CONNECT WITH DR. BRANDY ARCHIE:Ask SamieLinkedInCONNECT WITH AMPLIFY OT:WebsiteFree NewsletterInstagramLinkedInFacebookTikTok © Amplify OT and Clarice Grote Mentioned in this episode:Medbridge Ad LinkNeed CEUs? Save 40% off on your Medbridge subscription by using code “AmplifyOT” at checkout. Medbridge has great CEUs on Medicare, Reimbursement, and leadership! By using our affiliate code "AmplifyOT" at checkout you support this podcast and our...

How to be Successful in Inpatient Rehab as an OT Practitioner with Courtney the OTThe Amplify OT Podcast website I’ve talked before on the podcast about the importance of continually learning and being well-versed in your knowledge of the profession within your setting and across other settings to best support yourself as the practitioner and ensure your patients are getting the best quality of care. That’s why this week on The Amplify OT Podcast I am sitting down with Courtney to talk all things inpatient rehab and understanding insurance to best support your patients' needs. Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode, Courtney and I cover:The biggest differences between SNF and inpatient rehab. Understanding insurance to best set patient expectations and support them during the time you have with them.The difference between insurance covering and approving DME (durable medical equipment) and treatment. The importance of continuing your education across all settings and staying up to date on any relevant policies and laws that might affect you as a practicing clinician. Recognizing and taking responsibility for the power your words and recommendations have on your patients.Free OT Reimbursement Podcast PlaylistWhat to keep learning about insurance and reimbursement without wasting time? Head HERE to get your free OT Reimbursement Playlist and Guide!CLICK HERE to save 40% off Medbridge Today! Looking for more policy info? Check out our articles at www.amplifyot.com/articles CONNECT WITH COURTNEY:InstagramCONNECT WITH AMPLIFY OT:WebsiteFree NewsletterInstagramLinkedInFacebookTikTokHelpful LinksAmplify OT: Making Discharge Plans with Confidence © Amplify OT and Clarice Grote Mentioned in this episode:Medbridge Ad LinkNeed CEUs? Save 40% off on your Medbridge subscription by using code “AmplifyOT” at checkout. Medbridge has great CEUs on Medicare, Reimbursement, and leadership! By using our affiliate code "AmplifyOT" at checkout you support this podcast and our continued work. Thanks for supporting Amplify OT!...

The Role of Occupational Therapy in Acute Care and the Challenges of Discharge PlanningClarice Grote, MS, OTR/L The Amplify OT Podcast website In acute care settings when it comes to getting your patients home safely, it truly is a team effort between the occupational therapists and case management team to make decisions and placements in the best interest of the patient. That’s why this week on The Amplify OT Podcast, Alyssa and I are talking about the role of occupational therapy in acute care and the challenges of discharge planning!Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode, Alyssa and I cover:Finding the right workplace setting for you in occupational therapy.The unique value of occupational therapy in acute care settings and how to communicate your role to the patients in your care.Some of our favorite interventions and evaluation questions to ask during assessments. How Alyssa got into case management and the biggest takeaways she took from her experience thus far. The importance of documenting to influence the patient’s care down the line.Advice for other clinicians interested in learning more about discharge planning and building a relationship with their case management team. Free OT Reimbursement Podcast PlaylistWhat to keep learning about insurance and reimbursement without wasting time? Head HERE to get your free OT Reimbursement Playlist and Guide!CLICK HERE to save 40% off Medbridge Today! Looking for more policy info? Check out our articles at www.amplifyot.com/articles CONNECT WITH AMPLIFY OT:WebsiteFree NewsletterInstagramLinkedInFacebookTikTokCONNECT WITH ALYSSA:IG: @genuinely.otHelpful Links[Study] Higher Hospital Spending on Occupational Therapy is Associated with Lower Readmission Rates© Amplify OT and Clarice Grote Mentioned in this episode:Join the Amplify OT MembershipAs a exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on...

Can Occupational Therapy and Physical Therapy Co-Treat in Acute Care?Clarice Grote, MS, OTR/L The Amplify OT Podcast website A question I see a lot on social media and in my DMs is about if PT and OT can co-treat in acute care and if so, how can they make sure it is being billed correctly. That’s why this week on The Amplify OT Podcast, I’m breaking down how PT and OT can correctly bill for cotreatments in acute care settings.Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode, I cover:What does co-treating mean and why it may be difficult to find clear answers on the topic.The differences in billing between Medicare Part A and Medicare Part B and why you may see providers billing under the Medicare Part B guidelines to avoid false claims.Walking you through examples to help you understand what billing looks like in different scenarios.The importance of knowing how your services are being paid for to better understand the policies around billing.Free OT Reimbursement Podcast PlaylistWhat to keep learning about insurance and reimbursement without wasting time? Head HERE to get your free OT Reimbursement Playlist and Guide!CLICK HERE to save 40% off Medbridge Today! Looking for more policy info? Check out our articles at www.amplifyot.com/articles CONNECT WITH AMPLIFY OT:WebsiteFree NewsletterInstagramLinkedInFacebookTikTokHelpful LinksEp. 16: False Claims Act - It's More Than Billing for Services That Weren't Provided - The Amplify OT PodcastAOTA: Joint Guidelines for Therapy Co-Treatment Under MedicareAcute Inpatient PPS | CMS (DRG information)11 Part B Billing Scenarios for PTs and OTs (Individual vs. Group Treatment) | CMS© Amplify OT and Clarice Grote Mentioned in this episode:Medbridge Ad LinkNeed CEUs? Save 40% off on your Medbridge subscription by using code “AmplifyOT” at checkout. Medbridge has great CEUs on Medicare, Reimbursement, and leadership!...

The End of the COVID-19 Public Health EmergencyIf you’re listening to this episode when it is released, we’ve gotten used to our “new normal” following the COVID-19 pandemic. This “normal” is about to shift yet again as the COVID-19 public health emergency officially comes to an end on May 11th, 2023. That’s why this week on The Amplify OT Podcast, I am sharing what to expect for the end of the COVID-19 public health emergency. Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode, I am covering what the end of the public health emergency (PHE) is impacting, the existing policies before we entered into the PHE, and what will happen when the waiver expires. In this episode, I cover:The OTA and PTA supervision requirement in private practice. The ability for OTs to initiate and complete the comprehensive start of care in Home Health for Medicare Part A patients. 2 waivers relating to SNF that will be more of an impact for those working in acute care. The many changes we should prepare to see with Telehealth.Upcoming changes to Medicaid. Don’t forget to join the membership to get more in-depth on what exactly to expect with the end of this public health emergency. Free OT Reimbursement Podcast PlaylistWhat to keep learning about insurance and reimbursement without wasting time? Head HERE to get your free OT Reimbursement Playlist and Guide!CLICK HERE to save 40% off Medbridge Today! Looking for more policy info? Check out our articles at www.amplifyot.com/articles CONNECT WITH AMPLIFY OT:WebsiteFree NewsletterInstagramLinkedInFacebookTikTok LINKS MENTIONED IN THIS EPISODE:Ep. 20: 2022 Year-End OT Advocacy Wins and Losses for OTEp. 17: Advocacy Initiatives for 2022 with Heather Parsons, VP of Federal Affairs at AOTAEp. 10: Home Health OASIS & Value-Based PurchasingEp. 15:

Conversations on Creating Change in the OT Profession & Our Opinions on the Full Scope OT Movement with Brock from The Occupied PodcastClarice Grote, MS, OTR/L The Amplify OT Podcast website You may have recently heard of the Full-Scope OT Movement across social media and while the language and messaging may appear appealing to some, it is important, with anything, to look at the bigger picture. This week on The Amplify OT Podcast, I decided to do a podcast swap with Brock from the Occupied Podcast as we have a conversation on creating change in the OT profession & sharing our opinions on the full scope OT movement!Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode I cover:A rare look into my own post-college journey, how I got to be where I am today, and how politics and advocacy have always been ingrained in my life.The ways that politics not only affect our personal healthcare but how and even if we are able to do our jobs. Practicing advocacy through your AOTA (or similar) membership. Our thoughts on the Full-Scope OT Movement- what we agree with, what we disagree with, and the misleading messaging being spread. The impact that the medical model is having on different areas of practice. Thanks for listening! If you found this episode helpful, don’t forget to follow, rate and review the show. To learn more about Amplify OT head to https://amplifyot.com/ Free OT Reimbursement Podcast PlaylistWhat to keep learning about insurance and reimbursement without wasting time? Head HERE to get your free OT Reimbursement Playlist and Guide!CLICK HERE to save 40% off Medbridge Today! Looking for more policy info? Check out our articles at www.amplifyot.com/articles CONNECT WITH BROCK:Occupied PodcastInstagram FacebookLinkedInCONNECT WITH AMPLIFY OT:WebsiteFree NewsletterInstagramLinkedInFacebookTikTok...

How to Choose the Correct CPT® Codes with Mandy Chamberlain of OT Flourish Questions about billing are some of the most common questions we get asked because if things are not billed correctly, not only can you be undervaluing yourself as a practitioner, it creates this trickle-down effect that impacts everyone involved. That’s why this week on The Amplify OT Podcast, my guest Mandy Chamberlain, from OT Flourish, and I are discussing how to choose the correct CPT codes! Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode Mandy and I cover:The difference between Medicare Part A and Part B. The most common CPT® codes you may come across in skilled nursing facilities.How reimbursements are determined for CPT® codes. How evaluation codes are billed. Why it’s important for you as the clinician to bill correctly. By understanding how to choose the correct CPT® code, you can start working WITH the system, not against it.Thanks for listening! If you found this episode helpful, don’t forget to follow, rate and review the show. To learn more about Amplify OT head to https://amplifyot.com/ Free OT Reimbursement Podcast PlaylistWhat to keep learning about insurance and reimbursement without wasting time? Head HERE to get your free OT Reimbursement Playlist and Guide!CLICK HERE to save 40% off Medbridge Today! Looking for more policy info? Check out our articles at www.amplifyot.com/articles CONNECT WITH MANDY CHAMBERLAIN:OT Flourish LinkedInGet Mandy’s FREE SNF CPT® Code guide!Join the OT Flourish Membership!CONNECT WITH AMPLIFY OT:WebsiteFree NewsletterInstagramLinkedInFacebookTikTok LINKS MENTIONED IN THIS EPISODE:Episode 1: The Occupational Therapy Assistant ModifierEpisode 2:

Occupational Therapy Skilled ServicesClarice Grote, MS, OTR/L I’m sure every OT or OTA has documented that a patient would benefit from skilled occupational therapy services or skilled occupational therapy intervention but how many actually know what it means to provide a skilled service? That’s why this week on The Amplify OT Podcast, I am talking about what it means to provide skilled occupational therapy services. This episodes article and more resources: https://amplifyot.com/what-is-skilled-occupational-therapy/Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode I cover:The definition of skilled services as stated in the Medicare Benefit Policy manual. Understanding why what you do cannot be done by anyone else so you can articulate and justify the value you’re being paid for. How Medicare says we should be documenting our skills. Concrete questions to ask yourself to help you determine whether or not you’re providing a skilled service What to keep learning about insurance and reimbursement without wasting time? Head HERE to get your free OT Reimbursement Playlist and Guide!CLICK HERE to save 40% off Medbridge Today! Looking for more policy info? Check out our articles at www.amplifyot.com/articles CONNECT WITH AMPLIFY OT:WebsiteFree NewsletterInstagramLinkedInFacebookTikTokHelpful LinksMedicare Chapter 15 Benefit Policy Manual - Guidance Manual for Medicare Part B. LINKS MENTIONED IN THIS EPISODE:Chapter 15 - Medicare Benefit Policy ManualArticle: What is Skilled Occupational TherapyGeriatric Therapy Summit (open through the end of March 2023) - affiliate link© Amplify OT and Clarice Grote Mentioned in this episode:Join the Amplify OT MembershipAs a exclusive bonus for podcast listeners, you can...

Occupational Therapy Advocacy and AOTA Advocacy Efforts and TeamClarice Grote, MS, OTR/L The Amplify OT Podcast website Advocacy is one of my favorite soap boxes to stand on because we as clinicians have a huge responsibility to advocate for the continued and future success of our profession. That’s why this week on The Amplify OT Podcast, I am talking about advocacy at the state and federal levels.Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.In this episode I cover:The primary teams within AOTA (Federal Affairs, Regulatory Affairs, State Affairs, and the Quality Team) that are responsible for advocacy efforts.The types of policies that are handled on the state level vs. the federal level.Our role in advocacy as practicing clinicians.The ways you may already be advocating for OT without even realizing it and how you can use what you’re already doing and apply it in different ways.You are the expert in OT and the profession needs YOU to continue advocating for it.Free OT Reimbursement Podcast PlaylistWhat to keep learning about insurance and reimbursement without wasting time? Head HERE to get your free OT Reimbursement Playlist and Guide!Thanks for listening! If you found this episode helpful, don’t forget to follow, rate and review the show. To learn more about Amplify OT head to https://amplifyot.com/Need CEUs? Save 40% off on your Medbridge subscription by using code “AmplifyOT” at checkout or by visiting https://www.medbridgeeducation.com/amplify-ot. Medbridge has great CEUs on the OASIS and Medicare Reimbursement.Looking for more policy info? Check out our articles at www.amplifyot.com/articlesCLICK HERE to save 40% off Medbridge Today! Looking for more policy info? Check out our articles at www.amplifyot.com/articles CONNECT WITH AMPLIFY OT:WebsiteFree NewsletterInstagramLinkedInFacebookTikTok LINKS MENTIONED IN THIS EPISODE:Ep 17: Advocacy Initiatives for 2022 with Heather Parsons, VP of Federal Affairs at...

2022 Occupational Therapy Advocacy Wins and LosesWe just ended the 117th Congress with some wins, some losses, but most importantly, a plan to keep moving forward to improve the Occupational Therapy profession for both patients and practitioners! That’s why this week on The Amplify OT Podcast, I am talking about the 2022 OT advocacy wins and losses from congress!Episode Article and Resources: amplifyot.com/end-of-year-2022-legislative-updates-its-impact-on-ot/ Join the Amplify OT Membership today to take control of your career! It’s time to become your own best resource on Medicare and advocacy!Congress ended its term with a massive 1.7 Trillion Dollar legislative package- The Omnibus Reconciliation Act of 2023 (otherwise referred to as the Omnibus Bill). Within this bill, there are quite a few healthcare policies that impact our practice.To recap, here are some of the wins and areas for improvement that resulted from the 117th Congress:The Wins:The Allied Health Workforce Diversity Act was officially passed!Another extension was passed to allow Occupational Therapy practitioners and others to continue providing services via Telehealth for Medicare beneficiaries and receive reimbursement until the end of 2024.The Lymphedema Treatment Act was passed to expand the coverage to include Lymphedema garments as well as other commonly prescribed items.A new Medicare mental health benefit was passed for intensive outpatient services that are provided at Federally Qualified Health Centers (FQHC) or rural health clinics.A correction was made to a grant administered by the Health Resources and Services Administration (HRSA) to expand their funding that allows OT programs to apply for behavioral health workforce education training to doctoral-level programs.Areas for Improvement:Congress mitigated the conversion factor in Medicare Part B payments (or the Medicate Physicians Fee Schedule) which, in turn, leads to cuts.Revised supervision and exemptions for rural and medically underserved areas under the S.M.A.R.T. Act were not included in the bill.You might be wondering what’s next. AOTA is going to continue analyzing this bill to look for opportunities we can benefit from (& spoiler alert: they have already identified a few) and now it’s time to reintroduce the bills that did not pass and look toward introducing new legislation.Thanks for listening! If you found this episode helpful, don’t forget to follow, rate and review the show. To learn more about Amplify OT head to https://amplifyot.com/Need CEUs? Save 40% off on your Medbridge subscription by using code “AmplifyOT” at checkout or by visiting https://www.medbridgeeducation.com/amplify-ot. Medbridge has great CEUs on the OASIS and Medicare Reimbursement. Mentioned in this episode:Join the Amplify OT MembershipAs a exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy. Join the Membership TodayMedbridge Ad LinkNeed CEUs? Save 40% off on your Medbridge subscription by using code “AmplifyOT” at checkout. Medbridge has great CEUs on Medicare, Reimbursement, and leadership! By using our affiliate code "AmplifyOT" at...