The Amplify OT Podcast: Recent Episodes
Clarice Grote
Welcome to the Amplify OT Podcast. I’m Clarice Grote, MS, OTR/L and I’m the host of the Amplify OT Podcast. I’m an occupational therapist by trade and a policy wonk by choice. The Amplify OT Podcast is where we break down healthcare policy and legislation to help you not only survive but thrive in this crazy US healthcare system. So, let's dive in! Support this podcast: https://anchor.fm/amplifyot/support
Understanding the Benefits and Limitations of Using AI in Healthcare and Clinical PracticeWelcome to The Amplify OT Podcast with your host, Clarice Grote—occupational therapist, founder of Amplify OT, and self-proclaimed policy nerd who actually enjoys reading the long documents most people avoid.
No matter where you are in your occupational therapy journey, you belong here as an important part of this community. The work you do matters. Your voice matters. And advocacy isn’t just possible—it’s powerful.
Let’s get started—because change starts here.
View all Amplify OT Podcast episodes at podcast.amplifyot.com
Find where to listen to the Amplify OT Podcast at podcast.amplifyot.com/listen
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🚨 Overwhelmed by OT policy, billing, and Medicare rules?You’re not alone—and that’s why the Amplify OT Learning Platform exists. Designed by an OT for OTs and OTAs, this on-demand resource hub helps you finally understand the “why” behind the rules so you can advocate confidently, bill accurately, and stop second-guessing your documentation.
✨ What you get:
✔ Self-paced courses on Medicare, billing, and advocacy
✔ Real-world examples and easy-to-digest lessons
✔ CEU opportunities to boost your skills and confidence
✔ Support from a community that gets it
Ready to take the guesswork out of OT policy? Join today and amplify your knowledge, your confidence, and your impact.
👉 Click here to learn more and get started!
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You’ve probably noticed a lot of buzz (and maybe a bit of anxiety!) about artificial intelligence (AI) coming to healthcare and, more specifically, to the world of occupational therapy.
That’s why this week on The Amplify OT Podcast, I am talking about what AI and tools like ChatGPT actually are, how they’re already showing up in everyday OT practice, and what we need to think about when using these tools.
In this episode, I cover:
- What AI, large language models (LLMs), and generative chatbots are and what they aren't.
- How tools like ChatGPT, Gemini, and Bard are already embedded in the healthcare tech we use every day, often without us realizing it.
- Key limitations of AI in clinical practice—why AI can’t replace clinical reasoning, empathy, or the “human touch” of OT.
- Ways AI is being used in healthcare right now, including documentation support, patient education materials, workflow automation, data analytics, and even advocacy and policy work.
- What practitioners need to know about using AI tools in compliance with HIPAA and legal regulations.
- How AI is changing (and challenging) the prior authorization process with insurance, including both possible benefits and problematic denials.
Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com to check ‘em out!
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Looking for CEUs? Save with MedBridge!
Whether you’re a student or practicing clinician, MedBridge has a CEU plan for you—with hundreds of evidence-based courses, clinical resources, and tools to support your OT practice.
Amplify OT listeners can save:
- $101 off individual plans with code AmplifyOT → View Plans
- Up to $75 off student plans with code AmplifyOTStudent → Student Plans
- Home Health & Hospice CEUs → Home Health Resources
- Compliance & Annual Training → Compliance Training
- Explore solutions for groups and employers → Group Plans
Affiliate disclaimer: These are affiliate links, which means Amplify OT may earn a commission at no extra cost to you. Your support helps us continue to offer free resources and education for the OT community.
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CONNECT WITH AMPLIFY OT:
- Website
- Services
- Free Newsletter
- TikTok
© Amplify OT® and Clarice Grote
Hospice vs Palliative Care: OT's Role in Care and ComfortWelcome to The Amplify OT Podcast with your host, Clarice Grote—occupational therapist, founder of Amplify OT, and self-proclaimed policy nerd who actually enjoys reading the long documents most people avoid.
No matter where you are in your occupational therapy journey, you belong here as an important part of this community. The work you do matters. Your voice matters. And advocacy isn’t just possible—it’s powerful.
Let’s get started—because change starts here.
View all Amplify OT Podcast episodes at podcast.amplifyot.com
Find where to listen to the Amplify OT Podcast at podcast.amplifyot.com/listen
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🚨 Overwhelmed by OT policy, billing, and Medicare rules?You’re not alone—and that’s why the Amplify OT Learning Platform exists. Designed by an OT for OTs and OTAs, this on-demand resource hub helps you finally understand the “why” behind the rules so you can advocate confidently, bill accurately, and stop second-guessing your documentation.
✨ What you get:
✔ Self-paced courses on Medicare, billing, and advocacy
✔ Real-world examples and easy-to-digest lessons
✔ CEU opportunities to boost your skills and confidence
✔ Support from a community that gets it
Ready to take the guesswork out of OT policy? Join today and amplify your knowledge, your confidence, and your impact.
👉 Click here to learn more and get started!
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I see many people making the mistake of using the terms hospice and palliative care interchangeably; however, they have distinct differences. I wanted to take some time today to break down those differences, explore OT’s unique role in each setting, and share my tips and personal stories to help practitioners navigate these challenging but rewarding settings. That’s why this week on The Amplify OT Podcast, I am talking about hospice vs. palliative care.
In this episode, I cover:
- The key differences between hospice and palliative care: life-prolonging treatments, eligibility requirements, and the requirement of a DNR (do not resuscitate).
- How hospice and palliative care are paid for (including Medicare coverage and payment models).
- What the goals and interventions of OT look like in each of these settings.
- Practical tips for having tough conversations about end-of-life care and facilitating patient-centered care during some of life’s most difficult transitions.
Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com to check ‘em out!
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Looking for CEUs? Save with MedBridge!
Whether you’re a student or practicing clinician, MedBridge has a CEU plan for you—with hundreds of evidence-based courses, clinical resources, and tools to support your OT practice.
Amplify OT listeners can save:
- $101 off individual plans with code AmplifyOT → View Plans
- Up to $75 off student plans with code AmplifyOTStudent → Student Plans
- Home Health & Hospice CEUs → Home Health Resources
- Compliance & Annual Training → Compliance Training
- Explore solutions for groups and employers → Group Plans
Affiliate disclaimer: These are affiliate links, which means Amplify OT may earn a commission at no extra cost to you. Your support helps us continue to offer free resources and education for the OT community.
_____________________________________
CONNECT WITH AMPLIFY OT:
- Website
- Services
- Free Newsletter
- TikTok
LINKS MENTIONED IN THIS EPISODE:
- Ep 52: Skilled Nursing Facilities vs. Nursing Homes: What You Need to Know
- Being Moral by Atul Gawande
© Amplify OT® and Clarice Grote
Home Health OT vs OT in the Home: Differences in Billing and PracticeWelcome to The Amplify OT Podcast with your host, Clarice Grote—occupational therapist, founder of Amplify OT, and self-proclaimed policy nerd who actually enjoys reading the long documents most people avoid.
No matter where you are in your occupational therapy journey, you belong here as an important part of this community. The work you do matters. Your voice matters. And advocacy isn’t just possible—it’s powerful.
Let’s get started—because change starts here.
View all Amplify OT Podcast episodes at podcast.amplifyot.com
Find where to listen to the Amplify OT Podcast at podcast.amplifyot.com/listen
_____________________________________
🚨 Overwhelmed by OT policy, billing, and Medicare rules?You’re not alone—and that’s why the Amplify OT Learning Platform exists. Designed by an OT for OTs and OTAs, this on-demand resource hub helps you finally understand the “why” behind the rules so you can advocate confidently, bill accurately, and stop second-guessing your documentation.
✨ What you get:
✔ Self-paced courses on Medicare, billing, and advocacy
✔ Real-world examples and easy-to-digest lessons
✔ CEU opportunities to boost your skills and confidence
✔ Support from a community that gets it
Ready to take the guesswork out of OT policy? Join today and amplify your knowledge, your confidence, and your impact.
👉 Click here to learn more and get started!
_____________________________________
Providing OT in the home or doing mobile outpatient has become so much more popular in the last few years, especially for individuals who are branching out into their own private practices. But if you’re working for one of these companies or considering starting your own, it’s important to understand the differences in billing and scope of practice between the two, as it greatly impacts patient care and reimbursement. That’s why this week on The Amplify OT Podcast, I am talking about home health OT vs OT in the home: key differences in billing and practice!
In this episode, I cover:
- The fundamental differences between home health (Medicare Part A, provided by home health agencies) and OT in the home (mobile outpatient, typically billed under Medicare Part B).
- Key eligibility and admission criteria for each setting, including what “homebound status” really means.
- How billing and reimbursement work, from value-based and bundled payments (PDGM for home health) to fee-for-service, timed codes, and considerations for cash-pay.
- The critical role of “qualifying services,” why OT isn’t currently considered qualifying under Medicare Part A, and important advocacy efforts to change this.
- Scope of OT practice in each setting—why home modifications and specialized services are more prevalent in mobile outpatient, and why home health tends to be more generalist due to payment structure.
Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com to check ‘em out!
_____________________________________
Looking for CEUs? Save with MedBridge!
Whether you’re a student or practicing clinician, MedBridge has a CEU plan for you—with hundreds of evidence-based courses, clinical resources, and tools to support your OT practice.
Amplify OT listeners can save:
- $101 off individual plans with code AmplifyOT → View Plans
- Up to $75 off student plans with code AmplifyOTStudent → Student Plans
- Home Health & Hospice CEUs → Home Health Resources
- Compliance & Annual Training → Compliance Training
- Explore solutions for groups and employers → Group Plans
Affiliate disclaimer: These are affiliate links, which means Amplify OT may earn a commission at no extra cost to you. Your support helps us continue to offer free resources and education for the OT community.
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LINKS MENTIONED IN THIS EPISODE:
- Ep 11: Q&A: Is OT a Qualifying Discipline in Home Health
- Ep 9: Patient-Driven Groupings Model (PDGM) in Home Health
- Contact your legislator and ask them to pass the home health accessibility bill @ aota.org/takeaction
- Home Health Resources [Amplify OT]
- Can Occupational Therapists Opt Out of Medicare? [Amplify OT]
CONNECT WITH AMPLIFY OT:
- Website
- Services
- Free Newsletter
- TikTok
© Amplify OT® and Clarice Grote
Mentioned in this episode:
Amplify Therapy Summit
Get your free ticket to the Amplify Therapy Summit at Amplifytherapysummit.com today! Happening virtually on July 25-27. Upgrade to VIP for extended access to recordings, live panels, and CE certificates.
Financial Freedom for Occupational Therapists with Doug VestalAs occupational therapists, our primary goal is to help and be in service of others. But to do that, we often undervalue our services, leaving us underpaid, undervalued, and on the road to burnout. Fortunately, it doesn’t have to be that way. Doug Vestal joins me on the podcast today to talk about all things financial freedom for occupational therapists. While he is not an OT himself, he has been a pivotal figure in the OT community, especially in advocating for financial literacy. Doug shares his expert knowledge today as we discuss how understanding policies, creating financial security, and managing a private pay practice can transform the way practitioners approach both their personal and professional lives. That’s why this week on The Amplify OT Podcast, I am talking about financial freedom for OTs!
🚨 Overwhelmed by OT policy, billing, and Medicare rules?You’re not alone—and that’s why the Amplify OT Learning Platform exists. Designed by an OT for OTs and OTAs, this on-demand resource hub helps you finally understand the “why” behind the rules so you can advocate confidently, bill accurately, and stop second-guessing your documentation.
✨ What you get:
✔ Self-paced courses on Medicare, billing, and advocacy
✔ Real-world examples and easy-to-digest lessons
✔ CEU opportunities to boost your skills and confidence
✔ Support from a community that gets it
Ready to take the guesswork out of OT policy? Join today and amplify your knowledge, your confidence, and your impact.
👉 Click here to learn more and get started!
In this episode, Doug and I cover:
- How Doug’s book, Financial Freedom for OTs, differs from traditional wealth-building resources.
- The importance of financial freedom in creating choices for your life.
- Insights into loan repayment programs and their influence on career choices.
- Understanding the business side of healthcare and how insurance impacts OT salaries.
- The significance of valuing your services and setting appropriate fees.
- How OTs can focus on meaningful occupations while building economically sustainable practices.
Tune in for a conversation that challenges the conventional narrative around healthcare finances and offers practical solutions for building a thriving OT practice. Whether you're interested in private practice or simply looking to take control of your personal finances, this episode offers valuable insights for every OT professional.
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 $101 off Medbridge Today!
CONNECT WITH DOUG VESTAL:
- Freedom of Practice
- Financial Freedom for OTs (Amazon)
- YouTube
- The Functional Pelvis
CONNECT WITH AMPLIFY OT:
- Website
- Services
- Free Newsletter
- TikTok
©Amplify OT
2025 Advocacy Updates: Navigating a New Congress, New Presidency, and New InitiativesThe start of 2025 has had a lot in store for us as we navigate a new congress, a new presidential administration, and all that is being proposed as a result of these individuals settling into their new positions. This week on The Amplify OT Podcast, I am helping you stay informed and navigate the whirlwind of changes and updates from the federal government.
🚨 Overwhelmed by OT policy, billing, and Medicare rules?You’re not alone—and that’s why the Amplify OT Learning Platform exists. Designed by an OT for OTs, this on-demand resource hub helps you finally understand the “why” behind the rules so you can advocate confidently, bill accurately, and stop second-guessing your documentation.
✨ What you get:
✔ Self-paced courses on Medicare, billing, and advocacy
✔ Real-world examples and easy-to-digest lessons
✔ CEU opportunities to boost your skills and confidence
✔ Support from a community that gets it
Ready to take the guesswork out of OT policy? Join today and amplify your knowledge, your confidence, and your impact.
👉 Click here to learn more and get started!
In this episode, I cover:
- The effects of President Trump’s “anti-DEI” executive orders on occupational therapy and the broader healthcare system.
- RFK Jr. was officially appointed the Secretary of Health and Human Services (HHS), leaving people speculating on what this means for vaccinations.
- The broader implications that are surfacing as a result of Elon Musk being appointed head of the Department of Government Efficiency (DOGE).
- Additional policies in the works in Congress and what it means if they are to be passed.
In the midst of the overwhelming amount of updates that came out of the first couple of months of 2025, my message to you is this: Pay attention, be involved, and become a member of AOTA. This is a fantastic way to advocate, even if you don’t have the bandwidth to do something specifically on your own.
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 $101 off Medbridge Today!
LINKS MENTIONED IN THIS EPISODE:
- AOTA Inspire Philadelphia, PA (Be sure to come visit me at booth #208!)
- AmplifyOT.com/shop
- 2nd Annual Amplify Therapy Summit July 30- August 2, 2025
- NPR Politics Podcast
- The Daily Podcast by The New York Times
- What the Health Podcast
- AOTA Webinar on the Recent Executive Orders and How They Shape OT Education, Practice, Research, and Policy | (members will need to log in to access the recording and slides)
- AOTA Legislative Action Center
CONNECT WITH AMPLIFY OT:
- Website
- Services
- Free Newsletter
- TikTok
©Amplify OT
Healthcare Changes for 2025: End of Year ReviewWith the closing of another year and looking ahead to a new Congress as well as a new presidential term, we can expect to see quite a few changes in healthcare policy. That’s why this week on The Amplify OT Podcast and my final episode of 2024, I am talking about healthcare changes for 2025!
As an exclusive bonus for podcast listeners, you can join the Amplify OT Collective at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy. Student plans are now available!
In this episode, I cover:
- Updates to the podcast, Amplify OT Collective, and learning platform.
- With Donald Trump winning the election, Republicans will control the House and the Senate, making it significantly easier to pass legislation.
- What Trump’s cabinet appointments mean for the future of occupational therapy.
- With a new year of Congress, anything that has been waiting to be passed will have to be re-introduced; this comes with its own set of implications, especially with Telehealth.
- Starting Jan. 1, 2025, Medicare Part B will allow general instead of direct supervision for OTA.
- Caregiver codes under the Medicare Part B schedule have been expanded to include three additional codes.
- Other Medicare Part B updates that will help reduce administrative burden and change the valuation of CPT codes, as well as a brief update to home health.
Thanks for listening! As a reminder, I will be putting the podcast on pause for the months of December 2024 and January 2025 to bring exciting new things to the Amplify OT Collective. In the meantime, be sure to follow this podcast so you don’t miss it when I come back in February! And be sure to rate and review the show. To learn more about Amplify OT, head to https://amplifyot.com/
Have a question or just want to say hello? Call or text +1 (919)-341-9289 to have your questions answered on the podcast! *Message and Data Rates May Apply
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 $101 off Medbridge Today!
CONNECT WITH AMPLIFY OT:
- Website
- Services
- Free Newsletter
- TikTok
LINKS MENTIONED IN THIS EPISODE:
- Sign up for the LIVE Webinar on December 18, 2024
- The Amplify OT Learning Platform
- Faculty: Get Your Free Trial Here
- The NPR Politics Podcast
- Ep 6: How Medicare Law is Made
- AOTA Legislative Action Center
- Ep 31: Direct Access in OT: Do I Need a Physician's Prescription?
©Amplify OT
Voting for Healthcare in the 2024 ElectionThe 2024 presidential election is upon us, and while healthcare plays an important role in every election cycle, this year’s election has a huge emphasis on healthcare and access to healthcare services. This, as we know, doesn’t just impact us as individuals but has an impact on our profession as a whole. That’s why this week on The Amplify OT Podcast, I am breaking down the 2024 election, covering each candidate’s platform in regards to the Affordable Care Act, ACA subsidies, Medicaid, and Medicare.
Disclaimer: I am not endorsing any particular candidate on this podcast. This episode is meant to serve as an educational tool, as though I am from the party of occupational therapy, with a bias only about what is best for our profession as a whole.
As an exclusive bonus for podcast listeners, you can join the Amplify OT Collective at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.
KFF Comparison of Candidates Actions and Platforms on Health Policy
Note: This article is used as a reference for many of the sections below especially for Medicaid, LGBTQ, and Mental Health information.
Presidential Candidate Platforms* Kamala Harris’ Platform * Donald Trump’s Platform * 2024 GOP Platform * 2022 Election Demographics:
Affordable Care ActACA Repeal - Graham-Cassidy Bill* Kamala Harris Tweet/Video Referenced * Donald Trump Tweet Referenced * Fact Check Graham-Cassidy Bill and Pre-existing Condition Coverage
ACA Subsidies* 2024 Marketplace Subsidies * State-Based insurance premiums * KFF Inflation Reduction Act Health Insurance Subsidies: What is Their Impact and What Would Happen if They Expire?
Medicaid* Medicaid Post-Partum Coverage Rate
Medicare* Harris/Walz Fact Sheet: A Historic Medicare at Home Plan to Support the Sandwich Generation * Did Trump Propose Deep Medicare Cuts? * Tax Policy Impact on Medicare and Social Security Insovency
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 $101 off Medbridge Today!
CONNECT WITH AMPLIFY OT:
- Website
- Services
- Free Newsletter
- TikTok
©Amplify OT
PACE Programs: Patient-Centered Care in Action with Courtney BarrWhile many programs appear too good to be true, PACE (Program of All-Inclusive Care for the Elderly) programs are the real deal. Courtney Barr joins me on the podcast as we dive into the transformative impact of these patient-centered, collaborative care programs. That’s why this week on The Amplify OT Podcast, I am talking about patient-centered care in action!
Join the Amplify OT Membership
As 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 a PACE program is, who it helps, how eligibility and services are determined, and how many of these programs currently exist in the U.S.
- Where funding for PACE programs comes from and how compensation for practitioners is billed.
- The PACE program's patient-first model reduces administrative barriers, allowing the care team to work together and focus on patient needs first and foremost.
- Advice for practitioners looking to pursue a role in a PACE program.
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/
Have a question or just want to say hello? Call or text +1 (919)-341-9289 to have your questions answered on the podcast! *Message and Data Rates May Apply
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 $101 off Medbridge Today!
CONNECT WITH AMPLIFY OT:
- Website
- Services
- Free Newsletter
- TikTok
LINKS MENTIONED IN THIS EPISODE:
- National PACE Association
- Mastering Medicare Episode 25: PACE Program Deep Dive
©Amplify OT
Addressing Fraud And Upholding the Professional Integrity of OTs [Strengthening Occupational Therapy from Within]As clinicians, it is our job to find the balance between operating in a legal, ethical, and professional manner while always keeping the client’s well-being a top priority. As you may have experienced, these things don’t always line up and we find ourselves navigating incredibly difficult situations. We can be so quick to point out abuse from other professions, family members, etc. but can be hesitant to call out abuse when it comes to our colleagues, bosses, or other practitioners. But if we want to continue to strengthen our profession from within, it is our responsibility to recognize and address these red flags of fraudulent or unethical behavior, regardless of the consequences we may face. That’s why this week on The Amplify OT Podcast, I am talking about addressing fraud and upholding the professional integrity of OTs.
Join the Amplify OT Membership
As 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.
Disclaimer: In this episode, I am sharing opinions on behalf of myself, Clarice Grote. I am not speaking on behalf of any other leadership roles I may have or organizations I am involved with.
In this episode, I cover:
- Fraud is fraud; it’s not ok to pick and choose who we decide to report and who we turn a blind eye to.
- Red flags for identifying fraud, inaccuracies, or unethical behavior within the profession.
- Follow your gut, seek support, and investigate further with policies when something doesn’t feel right.
- Resources and strategies for addressing fraud and abuse in healthcare.
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/
Have a question or just want to say hello? Call or text +1 (919)-341-9289 to have your questions answered on the podcast! *Message and Data Rates May Apply
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:
- Website
- Services
- Free Newsletter
- TikTok
LINKS MENTIONED IN THIS EPISODE:
- Ep 56: Social Media's Impact on Our Professional Trust and Credibility [Strengthening Occupational Therapy from Within]
- Ep 34: Doing Your Due Diligence as a Licensed OT Practitioner with Raphie Wagner
©Amplify OT
Mentioned in this episode:
Join the Amplify OT Membership
As 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
Social Media's Impact on Our Professional Trust and Credibility [Strengthening Occupational Therapy from Within]We tend to talk about advocacy as a way of trying to control external factors, predominantly policy and regulation, however, there is so much we can do as practitioners ourselves to change the future of our profession. One of these factors is simply how we use social media to either move the profession forward or hinder our growth. While social media is an amazing tool we can use to connect with others, in and out of our profession, we need to acknowledge that there is a lot of room for social media to drive us apart. This week on The Amplify OT Podcast, I am kicking off my Strengthening OT from Within series by talking about social media’s impact on our professional trust and credibility!
Join the Amplify OT Membership
As 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.
Disclaimer: In this episode, I am sharing opinions on behalf of myself, Clarice Grote. I am not speaking on behalf of any other leadership roles I may have or organizations I am involved with.
In this episode, I cover:
- Being an OT or an OTA is something we never turn off; we are a constant representation of our profession.
- What you post online is not only being viewed by fellow practitioners but students aspiring to be where you are; be mindful of your discouraging advice.
- The number of people who admit to or defend illegal or unethical practices on social media is shocking and not at all how we want our profession reflected.
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/
Have a question or just want to say hello? Call or text +1 (919)-341-9289 to have your questions answered on the podcast! *Message and Data Rates May Apply
If you missed the Amplify Therapy Summit, you can catch the course replays by joining the Amplify OT Membership at amplifyot.com/membership
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:
- Website
- Services
- Free Newsletter
- TikTok
LINKS MENTIONED IN THIS EPISODE:
- Ep 54: Stop Saying "No One Knows What Occupational Therapy Is"
- Ep 16: False Claims Act - It's More Than Billing for Services That Weren't Provided
©Amplify OT
Mentioned in this episode:
Join the Amplify OT Membership
As 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
How the Overturn of the Chevron Deference Will Impact The Future of Healthcarewith John MillerIf you’re in the Amplify OT Membership or you’ve been paying attention to the Supreme Court then you may have heard about the overturning of the Chevron deference. Regardless if you’ve joined the conversation or not, it’s time to start paying attention as the overturning of this precedence may have huge implications on the future of healthcare. Joining me to broach this topic is my father, John Miller, a lawyer with 40 years of experience in his field as he shares insights of how the legal landscape affects healthcare and what this ruling means for our profession moving forward. This week on The Amplify OT Podcast, my dad and I are talking about how the overturn of the Chevron deference will impact the future of healthcare!
Join the Amplify OT Membership
As 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.
Registration is officially open for the virtual Amplify Therapy Summit July 25-27!
In this episode, we cover:
- Summarizing the 3 branches of government and their respective responsibilities.
- The history and implications of Chevron deference and the shift in judicial approaches to agency interpretations of law.
- What this ruling means for the future of healthcare policy and reimbursement.
- Action items for staying informed and influencing policy during the upcoming months of uncertainty.
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/
Have a question or just want to say hello? Call or text +1 (919)-341-9289 to have your questions answered on the podcast! *Message and Data Rates May Apply
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:
- Website
- Services
- Free Newsletter
- TikTok
LINKS MENTIONED IN THIS EPISODE:
- Register to Vote!
©Amplify OT
Mentioned in this episode:
Join the Amplify OT Membership
As 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
Stop Saying "No One Knows What Occupational Therapy Is"I am standing on my soapbox when I say we have to stop saying, “No one knows what OT is”. I’ll be honest, I am guilty of this myself and am proactively working to change it because this phrase is detrimental to our profession and our perception of ourselves and prevents us from moving forward together. This week on The Amplify OT Podcast, I am sharing why we need to stop using the phrase, “No one knows what OT is” and what to do instead.
As an exclusive bonus for podcast listeners, you can join the OT Amplifiers Collective 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:
- Updates coming to the Amplify OT Membership (now called the OT Amplifiers Collective).
- There is a lack of awareness of what OT is and the scope of our practice, however, by further confirming this narrative, we can’t move forward.
- We should look to overcome barriers, not let them stop us in our tracks.
- Changing the phrase, “no one knows what OT is” to “they don’t understand OT right now” and taking ownership to do something about it.
- When explaining our profession, it’s important to consider the goals of the person you’re talking to and use language that is familiar to them.
I understand that this episode may ruffle some feathers and that’s OK! I encourage you to join the discussion by joining the OT Amplifiers Collective and sharing your thoughts and opinions on our discussion board!
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/
Have a question or just want to say hello? Call or text +1 (919)-341-9289 to have your questions answered on the podcast! *Message and Data Rates May Apply
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!
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CONNECT WITH AMPLIFY OT:
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Insurance and How It Impacts Our Plan of Care [Replay]As a therapy provider, you will see many insurance types including private insurance, Medicare, Medicaid, as well as others. That’s why this week on The Amplify OT Podcast, I am talking about how insurance impacts our plan of care!
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In this episode, I review the common insurance terms and how visit limits and therapy coverage can impact how and when we provide care.
Grab the FREE Billing Guide at: https://amplifyot.com/billing/
Check out the link to the Amplify OT article on this topic: https://amplifyot.com/health-insurance-in-occupational-therapy-plan-of-care/
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/
Have a question or just want to say hello? Call or text +1 (919)-341-9289 to have your questions answered on the podcast! *Message and Data Rates May Apply
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:
- Website
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- Free Newsletter
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Mentioned in this episode:
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As 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
Skilled Nursing Facilities vs. Nursing Homes: What You Need to KnowOften skilled nursing facilities (SNF) and nursing homes are used interchangeably as many facilities offer both services, however, they are two separate things. With the negative stigma surrounding nursing homes, it is important to know the difference between the two and use proper terms when communicating with your patients and their families. That’s why this week on The Amplify OT Podcast, I am talking about the differences between skilled nursing facilities and nursing homes so you can better communicate the right care with your patients!
Join the Amplify OT Membership
As 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 fundamental differences between SNFs and nursing homes come down to the reimbursement, type of services provided, and length of stay.
- Statistics on SNFs and nursing homes, including ownership, profit status, and services offered.
- Medicare and Medicaid’s role in funding these facilities and how this affects the services that patients receive.
- Practical tips on discussing care options with patients, alleviating common fears, and overcoming the stigmas associated with these facilities.
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/
Have a question or just want to say hello? Call or text +1 (919)-341-9289 to have your questions answered on the podcast! *Message and Data Rates May Apply
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:
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LINKS MENTIONED IN THIS EPISODE:
- CMS.gov State Operations Manual- Survey and Enforcement Process for Skilled Nursing Facilities and Nursing Facilities
- U.S. Bureau of Labor Statistics: Occupational Employment and Wage Statistics for SNFs (May 2023)
- CDC.gov Nursing Home Care Statistics
- CMS.gov Health & Safety Standards: Nursing Homes
- CMS.gov Skilled Nursing Facility Center
- ASPE Office of Health Policy: Ownership of Skilled Nursing Facilities
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As 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
Decoding Medicare Advantage and Medicaid MCOs: Understanding the CoverageYou may have heard (or even said) that Medicare Advantage is great if you’re healthy but terrible if you’re sick. But why is that? This week on The Amplify OT Podcast, I’m sharing what Medicare Advantage is, why it’s popular, despite these claims, and how it has expanded into the Medicaid space with managed care organizations (MCOs).
Join the Amplify OT Membership
As 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:
- Benefits and barriers that come with Medicare Advantage plans.
- The difference between traditional Medicare and Medicare Advantage.
- Why managed care plans (MCOs) are popular, especially for governments.
- Current and proposed regulatory changes that affect these plans and us as practitioners.
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/
Have a question or just want to say hello? Call or text +1 (919) 341-9289 to have your questions answered on the podcast! *Message and Data Rates May Apply
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:
- Website
- Services
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LINKS MENTIONED IN THIS EPISODE:
- Ep 50: Volume-Based vs. Value-Based Reimbursement Models in OT
- CMS Finalizes Rule to Expand Access to Health Information and Improve the Prior Authorization Process [CMS.gov Article]
- Medicare Advantage in 2023: Enrollment Update and Key Trends [KFF.org Article]
- Medicaid: Last Week Tonight with John Oliver
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Join the Amplify OT Membership
As 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
Volume-Based vs. Value-Based Reimbursement Models in OT Reimbursement models, in healthcare and business in general, incentivize specific behaviors. The reimbursement model you work under will directly influence what is expected of you. Once you have a better understanding of the incentive structures, you can work better within that structure. That’s why this week on The Amplify OT Podcast, I am talking about volume-based vs. value-based reimbursement models.
Join the Amplify OT Membership
As 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:
- Historically, the United States has leaned closer to a volume-based care system, only adopting value-based care alongside the Affordable Care Act of 2010.
- Pros and cons of volume-based and value-based care models.
- Fee-for-service (volume-based) can be compared to shopping at a grocery store and paying a specific price for each item you buy.
- Less common for OT practitioners, Capitated payments (value-based) can be compared to a gym membership where you pay a set dollar amount per month regardless of how many times you go to the gym.
- Bundled payments (value-based) are like getting a paycheck where a certain amount goes towards paying necessities like bills and groceries and the rest is up to you to spend as you choose.
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:
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- Services
- Free Newsletter
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- Download the Amplify OT App on IOS
LINKS MENTIONED IN THIS EPISODE:
- Reimbursement Models in OT: Do You Know What They Are? [Blog]
- How Understanding PDPM in Skilled Nursing Facilities Can Make You a Better Clinician [Blog and Podcast Episode]
- Sign Up for the Amplify Therapy Summit
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Mentioned in this episode:
Join the Amplify OT Membership
As 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
Amplifying Impact: Clarice’s Journey from Clinician to OT VisionaryI had the incredible honor of receiving AOTA’s Gary Kielhofner Emerging Leader Award this year. So in celebration of this career achievement, Lindsay Bright joins me as my guest host to interview me on my journey from practicing clinician to OT advocate, my goals and plans for Amplify OT, and my vision for the future of our profession. This week on The Amplify OT Podcast, we’re diving into Clarice’s journey from clinician to OT visionary.
Join the Amplify OT Membership
As 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, Lindsay and I cover:
- My journey from home health to acute care, to starting Amplify OT.
- What advocacy means for me both as a clinician and in my current role.
- The biggest challenges I have had to overcome through my advocacy work.
- What it feels like to be an online figure that people come to for information and resources.
- My hopes for Amplify OT in the years to come.
- Our goals and intentions for the Amplify Therapy Summit
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:
- Website
- Services
- Free Newsletter
- OT Merch
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LINKS MENTIONED IN THIS EPISODE:
- Sign Up for the Amplify Therapy Summit
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Mentioned in this episode:
Join the Amplify OT Membership
As 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
Spring 2024 Amplify OT and Healthcare Advocacy Updates2023 was a big year for passing healthcare legislation. A lot of what came through Congress in 2023 is starting to be implemented early in 2024, impacting OT in a big way. That’s why this week on The Amplify OT Podcast, I am talking about OT advocacy updates for spring 2024.
Join the Amplify OT Membership
As 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:
- With the passing of the 2022 Omnibus Bill, Congress established a new Medicare mental health benefit known as the intensive outpatient program (IOP).
- With the passing of the Lymphedema Treatment Act in 2022, Medicare Part B will now cover standard and custom-fitted lymphedema compression treatment items for each affected body part for patients with lymphedema.
- CMS rolled out new Caregiver Training codes that can be used as of January 1, 2024. This is the first time OT practitioners can be reimbursed for services that do not directly involve a service provided directly to the client.
- In a rare turn of events, CMS is increasing Medicare Part A payments to home health agencies by 0.8% in 2024, equating to $140 million.
- Home health will see some changes to their quality reporting program and value-based purchasing in addition to the payment increase.
- OT services paid for under Medicare Part B will face a 3.37% decrease compared to 2023.
- For 2024, the updated KX Modifier therapy threshold is $2,330 for OT and $2,330 for physical and speech therapy services combined.
- General supervision of OTAs in private practice was unexpectedly extended until the end of Calendar Year 2024.
- Aetna is delaying the implementation of the OTA payment differential from December 2023 to March 2024.
- The Consolidated Appropriations Act of 2023 confirmed telehealth coverage in hospital-based outpatient clinics for therapy under the Medicare Physician Fee schedule through December 31, 2024.
For more information and resources, check out the full blog post related to this episode: https://amplifyot.com/2024-policy-and-advocacy-updates-for-occupational-therapy/
2024 is a big year. Not only will we be voting for a new president, but we’ll also be voting on ⅓ of the Senate and all of the House of Representatives. To stay up to date and support advocacy efforts, become an AOTA and Amplify OT member.
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:
- Website
- Services
- Free Newsletter
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LINKS MENTIONED IN THIS EPISODE:
- Sign Up for the Amplify Therapy Summit
Members, sign up before March 30th and get $75 off!
Interested in joining the summit as a speaker? Send your CV/ Resume and a brief outline of your proposed topic to summit@amplifyot.com
- AOTA Inspire
- Mastering OT Policy & Medicare
- Ep 46: From Policy to Practice: Everything You Need to Know About Section GG
- Ep 9: Patient-Driven Groupings Model (PDGM) in Home Health
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Mentioned in this episode:
Join the Amplify OT Membership
As 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
Patient-Driven Payment Model (PDPM) in Skilled Nursing Facilities [Replay]Today's episode is all about the Patient-Driven Payment Model (PDPM) in Skilled Nursing Facilities (SNF).
Join the Amplify OT Membership
As 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.
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:
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LINKS MENTIONED IN THIS EPISODE:
- Amplify OT SNF Resources
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Join the Amplify OT Membership
As 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.
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From Policy to Practice: Everything You Need to Know About Section GGSection GG is one of my favorite topics to talk about because it was really one of the first indications of CMS starting to pay attention to function, mobility, and self-care as an outcome desired from healthcare services. This assessment continues to play an important role in functional assessments, quality measures, and reimbursements across post-acute care settings. That’s why this week on The Amplify OT Podcast, I am sharing what you need to know about Section GG.
Join the Amplify OT Membership
As 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:
- Uncovering why Section GG came about in the first place helps us better understand the purpose it serves today.
- Breaking down the 2 categories within Section GG: self-care and mobility.
- Knowing how to score is so important because accurate (or inaccurate) scoring deeply impacts the perceived value of OT and future reimbursement.
- Helpful advice you need to know when it comes to scoring Section GG.
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:
- Website
- Services
- Free Newsletter
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LINKS MENTIONED IN THIS EPISODE:
- Patient-Driven Payment Model (PDPM) in Skilled Nursing Facilities
- Patient-Driven Groupings Model (PDGM) in Home Health
- AOT: Everything You Need to Know About Section GG
*CMS links and training are included in the AOT article.
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Mentioned in this episode:
Join the Amplify OT Membership
As 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
Ep 45: An Interview with AOTA’s Vice-President Candidates Natalie Chang Wright and Christina Reyes Smith [Election Series Part 3]AOTA’s elections are upon us! That’s why this week on The Amplify OT Podcast, through a 3-part episode series, I am sitting down with the candidates running for President and Vice-President in the 2024 AOTA election. Through these conversations, it is my hope that we can all learn more about the people running for important leadership positions so we can make an informed choice.
View all interview videos at https://amplifyot.com/elections
As a reminder, voting opens February 2, 2024 and close Feb 23, 2024 at 11:59 AM ET. Please remember that you must be an AOTA member as of January 2, 2024 in order to participate in voting and you must be a current member on the date that you vote.
🗳️ Vote here: AOTA.org/elections
Sample Ballot (members only)
Disclaimer: I, myself, and Amplify OT as an entity are not endorsing any specific candidate. I am using my platform as a resource for these candidates to speak on.
⏩ Looking to skip ahead?
Natalie Chang Wright’s interview begins at 04:04
Christina Reyes Smith’s interview begins after the ad break at 31:26
In each interview, the candidates are asked the following questions:
- Why are you running for Vice-President of AOTA and why now?
- What would be your "day one" priorities, if elected?
- In your opinion what is the primary role or mission of AOTA in our profession?
- Do you believe membership is important? Why or why not?
- The last AOTA workforce study showed that 25% of practitioners are considering leaving the field, and AOTA had a 7% drop in membership this year. Do you think these issues are related? And in your opinion, what would be the best way to address these issues?
- What advice would you give to someone who may be interested in volunteering or taking a leadership role?
- Why should someone vote for you?
For more information and candidate bios, head over to https://amplifyot.com/elections
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:
- Website
- Work With Me
- Free Newsletter
- TikTok
LINKS MENTIONED IN THIS EPISODE:
- Elections Main Page
- Crucial Conversations Book
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Mentioned in this episode:
Join the Amplify OT Membership
As 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
An Interview with AOTA’s Presidential Candidates Michael Pizzi and Vikram Pagpatan [Election Series Part 2]AOTA’s elections are upon us! That’s why this week on The Amplify OT Podcast, through a 3-part episode series, I am sitting down with the candidates running for President and Vice-President in the 2024 AOTA election. Through these conversations, it is my hope that we can all learn more about the people running for important leadership positions so we can make an informed choice.
Listen/watch all interviews at https://amplifyot.com.com/elections
As a reminder, voting opens February 2, 2024 and close Feb 23, 2024 at 11:59 AM ET. Please remember that you must be an AOTA member as of January 2, 2024 in order to participate in voting and you must be a current member on the date that you vote.
🗳️ Vote here: AOTA.org/elections
Sample Ballot (members only)
Disclaimer: I, myself, and Amplify OT as an entity are not endorsing any specific candidate. I am using my platform as a resource for these candidates to speak on.
⏩ Looking to skip ahead?
Michael A. Pizzi’s interview begins at 04:04
Vikram Pagpatan’s interview begins after the ad break at 32:12
In each interview, the candidates are asked the following questions:
- Why are you running for President of AOTA and why now?
- What would be your "day one" priorities, if elected?
- In your opinion what is the primary role or mission of AOTA in our profession?
- Do you believe membership is important? Why or why not?
- The last AOTA workforce study showed that 25% of practitioners are considering leaving the field, and AOTA had a 7% drop in membership this year. Do you think these issues are related? And in your opinion, what would be the best way to address these issues?
- What advice would you give to someone who may be interested in volunteering or taking a leadership role?
- Why should someone vote for you?
For more information and candidate bios, head over to https://amplifyot.com/elections
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:
- Website
- Services
- Free Newsletter
- TikTok
LINKS MENTIONED IN THIS EPISODE:
- Elections Main Page
©Amplify OT
Mentioned in this episode:
Join the Amplify OT Membership
As 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
An Interview with AOTA’s Presidential Candidates Karen Sames & Arameh Avarizade [Election Series Part 1]AOTA’s elections are upon us! That’s why this week on The Amplify OT Podcast, through a 3-part episode series, I am sitting down with the candidates running for President and Vice-President in the 2024 AOTA election. Through these conversations, it is my hope that we can all learn more about the people running for important leadership positions so we can make an informed choice.
Listen/watch all interviews at https://amplifyot.com.com/elections and read their bios.
As a reminder, voting opens February 2, 2024 and close Feb 23, 2024 at 11:59 AM ET. Please remember that you must be an AOTA member as of January 2, 2024 in order to participate in voting and you must be a current member on the date that you vote.
🗳️ Vote here: AOTA.org/elections
Sample Ballot (members only)
Disclaimer: I, myself, and Amplify OT as an entity are not endorsing any specific candidate. I am using my platform as a resource for these candidates to speak on.
⏩ Looking to skip ahead?
Karen M. Sames interview begins at 04:04
Dr. Arameh Anvarizadeh’s interview begins after the ad break at 29:55
In each interview, the candidates are asked the following questions:
- Why are you running for President of AOTA and why now?
- What would be your "day one" priorities, if elected?
- In your opinion what is the primary role or mission of AOTA in our profession?
- Do you believe membership is important? Why or why not?
- The last AOTA workforce study showed that 25% of practitioners are considering leaving the field, and AOTA had a 7% drop in membership this year. Do you think these issues are related? And in your opinion, what would be the best way to address these issues?
- What advice would you give to someone who may be interested in volunteering or taking a leadership role?
- Why should someone vote for you?
For more information and candidate bios, head over to https://amplifyot.com/elections
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:
- Website
- Services
- Free Newsletter
- TikTok
LINKS MENTIONED IN THIS EPISODE:
- Elections Main Page
©Amplify OT
Mentioned in this episode:
Join the Amplify OT Membership
As 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
The Value of Membership in Shaping the OT Profession with Vikram PagpatanAOTA’s elections are upon us and historically, less than 4% of members participate in annual voting. This is such a small percentage of practitioners influencing the future of our profession. Today I am joined by AOTA’s presidential candidate and current Board Member, Vik Pagpatan as he brings us his insight from the inside, discussing the full scope of AOTA, the profession as a whole, and the power of community. That’s why this week on The Amplify OT Podcast, I am talking about the value of membership in shaping the OT profession.
Join the Amplify OT Membership
As 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, Vikram and I cover:
- What motivated Vik to get further involved in AOTA, becoming a member of the Board of Directors and now running for President of the association.
- Addressing the misconceptions of power and influence in associations like AOTA.
- Why representation is so critical to enact change of any kind.
- Challenges OT professionals are facing across the country.
- The power and value of community in all forms.
- A brief overview of Vik’s panel addressing men in OT, encouraging further discussions on underrepresented topics.
As a reminder, AOTA elections open up on February 2, 2024, and close on February 23, 2024, at 11:59 AM ET. You must be an AOTA member to vote.
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 VIKRAM:
- Website
CONNECT WITH AMPLIFY OT:
- Website
- Services
- Free Newsletter
-
TikTok
-
AOTA Elections Page & Sample Ballot: https://www.aota.org/community/get-involved/elected-and-appointed-positions/elections
- Voting Window: February 2, 2024 at 12 pm Noon ET – February 23, 2024 at 11:59 am (before Noon) ET
- Must be an AOTA Member to vote
- You can view each profile for the candidates at the bottom of the page.
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As 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
Cuts to OT for 2024 + Good NewsAs we enter into a new year, it’s time to take another deep dive into the important updates that shape our profession and why it is so important to keep advocating year after year. That’s why this week on The Amplify OT Podcast, I am talking about cuts to OT in 2024, plus some good news we can look forward to!
Join the Amplify OT Membership
As 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 is the Medicare Physicians Fee Schedule (MPFS) and the professions it impacts.
- Updates to the conversion factor (spoiler alert: there has been a payment reduction).
- CMS extended the Telehealth waivers required by Congress.
- The general supervision requirement for OTAs and PTAs in private practice has been extended.
- For the first time as therapy practitioners, we are going to be reimbursed for a service that the patient is not physically present for under the new caregiver codes.
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:
- Website
- Services
- Free Newsletter
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Helpful Links
-
AOTA Presentation: Stopping the 2024 Medicare Payment Cut
-
Take Action: AOTA.org/takeaction
- AOTA MPFS 2024 Article (members only)
©Amplify OT
Mentioned in this episode:
Join the Amplify OT Membership
As 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
Take Action Today! Advocate Against 2024 Medicare CutsOver the past couple of years we have routinely seen reductions in reimbursement underneath the Medicare Physician Fee Schedule (MPFS) and this year is no different. While AOTA is working diligently to advocate for our profession, your voice matters! Writing letters to Congress plays an important role in the legislative process of passing policy in the United States. That’s why this week on The Amplify OT Podcast, I am talking about why you need to take action today and advocate against Medicare cuts!
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In this episode, I cover:
- The 3.4% reduction we’re looking at in 2024 under the MPFS if no action is taken.
- How AOTA makes it quick and simple to write a letter to your legislators and be an OT Amplifier.
- Encouraging you to edit your letters and share personal stories of impact.
- The different pieces of legislation being brought to Congress and the solutions they are proposing.
❗ Tune into the next episode of the Amplify OT Podcast to get deeper into the weeds of why we continue to see cuts year after year.
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!
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CONNECT WITH AMPLIFY OT:
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Helpful Links
- AOTA Presentation: Stopping the 2024 Medicare Payment Cut
- URGENT: Contact Congress and ask them to Prevent Medicare Cuts to OT
- AOTA: Legislative Action Center
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Join the Membership Today
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.
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As 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!
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CONNECT WITH AMPLIFY OT:
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Helpful Links
- The Daily- NYT
- NPR - Breaking News, Analysis, Music, Arts & Podcasts : NPR
- The Weeds - Vox
- KFF Health News: What the Health?
- Pulse Check podcast - POLITICO
- Amplify OT Products on Amazon
- AOTA Education Summit 2023
- How to Teach OT and OTA students Medicare and Health Systems • Amplify OT
- POLITICO: CMS Rejects More Than 300 Medicare Advantage Ads
- KFF Research Shows that Medicare Open Enrollment TV Ads Are Dominated by Medicare Advantage Plans Featuring Celebrities, Active and Fit Seniors, and Promises of Savings and Extra Benefits Without Fundamental Plan Information | KFF
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Join the Amplify OT Membership
As 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
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.
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As 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:
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Helpful Links
- Medicare.gov Care Compare
- AOTA: 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 | CMS
- Occupational Therapy in Skilled Nursing Facilities
- Amplify OT: SNF Resources
- Ep 5: Patient Driven Payment Model (PDPM) in Skilled Nursing Facilities
- Ep. 9: Patient-Driven Groupings Model (PDGM) in Home Health
- Ep 32: Decoding Medicare's Alphabet Soup: Medicare Plans
©Amplify OT
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As 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.
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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.
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As 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!
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CONNECT WITH AMPLIFY OT:
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Helpful Links
- Home Health Playlist • Amplify OT
- Ultimate OT Skilled Nursing Facility (SNF) and Home Health Guide • Amplify OT
- Amplify 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 OT
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Join the Amplify OT Membership
As 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.
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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!
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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:
- Website
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©Amplify OT
Mentioned in this episode:
Join the Amplify OT Membership
As 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
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 Membership
As 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!
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LINKS MENTIONED IN THIS EPISODE:
- MDS 3.0 RAI Manual v1.17.1_October 2019 - reference Page 507 Therapy Minutes
- 11 Part B Billing Scenarios for PTs and OTs | CMS
Links to IG Reels on Billing
- https://www.instagram.com/reel/Cw8AAgXuQRJ/
- https://www.instagram.com/reel/Cw8QWX3xkFU/
- https://www.instagram.com/reel/Cw8hUUfx54A/
- https://www.instagram.com/reel/Cw8iFp4xI37/
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Join the Amplify OT Membership
As 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
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.
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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!
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CONNECT WITH RAPHIE WAGNER:
- Instagram @otraphie
©Amplify OT
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!
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As 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!
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CONNECT WITH AMPLIFY OT:
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©Amplify OT
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!
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As 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!
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©Amplify OT
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!
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As 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!
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©Amplify OT
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!
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As 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:
- Under the Home Health Accessibility Act, OT is now 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.
- 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.
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!
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LINKS MENTIONED IN THIS EPISODE:
- AOTA joins with APTA, ASHA and APTA private practice to release policy principles for outpatient therapy reform
- Applying the OTA and PTA Modifier (CO/CQ) for Medicare Part B
- AOTA Take Action Page: www.aota.org/takeaction
- Amplify OT • Cash-Based Occupational Therapy &...
Inspiring Innovation: OT in Tech, DME and Entrepreneurship with Dr. Brandy ArchieClarice Grote, MS, OTR/L
The Amplify OT Podcast website
As 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 Membership
As 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!
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Looking for more policy info? Check out our articles at www.amplifyot.com/articles
CONNECT WITH DR. BRANDY ARCHIE:
- Ask Samie
CONNECT WITH AMPLIFY OT:
- Website
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© Amplify OT and Clarice Grote
How to be Successful in Inpatient Rehab as an OT Practitioner with Courtney the OTClarice Grote, MS, OTR/L
The 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.
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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!
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Looking for more policy info? Check out our articles at www.amplifyot.com/articles
CONNECT WITH COURTNEY:
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Helpful Links
- Amplify OT: Making Discharge Plans with Confidence
© Amplify OT and Clarice Grote
Mentioned in this episode:
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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!
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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:
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CONNECT WITH ALYSSA:
- IG: @genuinely.ot
Helpful Links
- [Study] Higher Hospital Spending on Occupational Therapy is Associated with Lower Readmission Rates
© Amplify OT and Clarice Grote
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.
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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:
- Website
- Free Newsletter
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Helpful Links
- Ep. 16: False Claims Act - It's More Than Billing for Services That Weren't Provided - The Amplify OT Podcast
- AOTA: Joint Guidelines for Therapy Co-Treatment Under Medicare
- Acute 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 Link
Need 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-ot
CLICK HERE to save 40% off Medbridge Today!
Join the Amplify OT Membership
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Join the Membership Today
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.
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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:
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LINKS MENTIONED IN THIS EPISODE:
- Ep. 20: 2022 Year-End OT Advocacy Wins and Losses for OT
- Ep. 17: Advocacy Initiatives for 2022 with Heather Parsons, VP of Federal Affairs at AOTA
- Ep. 10: Home Health OASIS & Value-Based Purchasing
- Ep. 15: Is CMS Changing Its Policy About if OT Can Initiate the OASIS in Home Health?
- [Blog] Can Occupational Therapists Perform the SOC OASIS?
- [Blog] OT and the OASSIS: End of the PHE
© Amplify OT and Clarice Grote
Mentioned in this episode:
Medbridge Ad Link
Need 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-ot
CLICK HERE to save 40% off Medbridge Today!
Join the Amplify OT Membership
As 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
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 Membership
As 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 Podcast
CONNECT WITH AMPLIFY OT:
- Website
- Free Newsletter
- TikTok
© Amplify OT and Clarice Grote
Mentioned in this episode:
Earn up to 40 CE Hours AND Become a Certified Geriatric Care Professional!
Do you work with geriatric clients and need CE hours?? Then sign up today for the Next Level Geriatric Care Summit hosted by PESI and Next Level OT on March 29-31, 2023. This is my second year presenting at this summit, and it is packed full of powerhouse therapy practitioners. So, not only do you get to learn from experts in the field, but you also get to earn your Geriatric Care Professional Certification from Evergreen Certifications for free (valued at $249.99) with the price of registration. PESI values this summit at $2,459.79 but is only charging $299.99. So, sign up today, so you don't miss my presentation on how Medicare reimbursement has impacted therapy (going all the way back to the 90's 🛼).
CLICK HERE to join Geriatric Therapy Summit!
Join the Amplify OT Membership
As 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
How to Choose the Correct CPT® Codes with Mandy Chamberlain of OT Flourish Clarice Grote, MS, OTR/L
The Amplify OT Podcast website
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 and I are discussing how to choose the correct CPT codes!
Join the Amplify OT Membership
As 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
- Get Mandy’s FREE SNF CPT® Code guide!
- Join the OT Flourish Membership!
CONNECT WITH AMPLIFY OT:
- Website
- Free Newsletter
- TikTok
LINKS MENTIONED IN THIS EPISODE:
- Episode 1: The Occupational Therapy Assistant Modifier
- Episode 2: Take Action: Stop the Medicare Cuts for 2022
- Episode 5: Patient-Driven Payment Model (PDPM) in Skilled Nursing Facilities
- Episode 13: Medicare’s 8-Minute Rule: OT Billing Q&A
- Episode 22: Everything You Need to Know About Skilled OT Services
© Amplify OT and Clarice Grote
Mentioned in this episode:
Earn up to 40 CE Hours AND Become a Certified Geriatric Care Professional!
Do you work with geriatric clients and need CE hours?? Then sign up today for the Next Level Geriatric Care Summit hosted by PESI and Next Level OT on March 29-31, 2023. This is my second year presenting at this summit, and it is packed full of powerhouse therapy practitioners. So, not only do you get to learn from experts in the field, but you also get to earn your Geriatric Care Professional Certification from Evergreen Certifications for free (valued at $249.99) with the price of registration. PESI values this summit at $2,459.79 but is only charging $299.99. So, sign up today, so you don't miss my presentation on how Medicare reimbursement has impacted therapy (going all the way back to the 90's 🛼).
CLICK HERE to join Geriatric Therapy Summit!
Join the Amplify OT Membership
As 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
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 Membership
As 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:
- Website
- Free Newsletter
- TikTok
Helpful Links
- Medicare Chapter 15 Benefit Policy Manual - Guidance Manual for Medicare Part B.
LINKS MENTIONED IN THIS EPISODE:
- Chapter 15 - Medicare Benefit Policy Manual
- Article: What is Skilled Occupational Therapy
- Geriatric Therapy Summit (open through the end of March 2023) - affiliate link
© Amplify OT and Clarice Grote
Mentioned in this episode:
Join the Amplify OT Membership
As 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
Earn up to 40 CE Hours AND Become a Certified Geriatric Care Professional!
Do you work with geriatric clients and need CE hours?? Then sign up today for the Next Level Geriatric Care Summit hosted by PESI and Next Level OT on March 29-31, 2023. This is my second year presenting at this summit, and it is packed full of powerhouse therapy practitioners. So, not only do you get to learn from experts in the field, but you also get to earn your Geriatric Care Professional Certification from Evergreen Certifications for free (valued at $249.99) with the price of registration. PESI values this summit at $2,459.79 but is only charging $299.99. So, sign up today, so you don't miss my presentation on how Medicare reimbursement has impacted therapy (going all the way back to the 90's 🛼).
CLICK HERE to join Geriatric Therapy Summit!
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.As 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.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/articlesCONNECT WITH AMPLIFY OT: Website Work With Me Free Newsletter Instagram LinkedIn Facebook TikTokLINKS MENTIONED IN THIS EPISODE: Ep 17: Advocacy Initiatives for 2022 with Heather Parsons, VP of Federal Affairs at AOTA Ep 6: How Medicare Law is Made Ep 7: OT Licensure Compact with Megan Pudeler from AOTA End of 2022 Advocacy Updates AOTPAC AOTA Podcast AOTA Advocacy Page--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app--- Send in a voice message: https://anchor.fm/amplifyot/messageSupport this podcast: https://anchor.fm/amplifyot/support
We 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!
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.
--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app--- Send in a voice message: https://anchor.fm/amplifyot/messageSupport this podcast: https://anchor.fm/amplifyot/support
In a time where we are asked to do more with less time and provide high quality care, are you able to justify why OT is needed?
We know we are providing value, so why don't others see that? What are we missing?
In this special episode, we explore what might be preventing excellent practitioners from being able to effectively communicate and justify why OT and why now.
Topics like this will be a key priority in the Amplify OT Membership. Sign-ups open on January 30th and close on February 3rd. So get on the waitlist or sign up now at https://amplifyot.com/membership.
Reels mentioned in the show:
- Why should you get paid as an OT Practitioner?
- How to document skill
- How to know you provided a skilled service
- what exactly is a "skilled service"
- Why it might be our fault that OT is undervalued
--- Send in a voice message: https://anchor.fm/amplifyot/messageSupport this podcast: https://anchor.fm/amplifyot/support
Curious what the AOTA President has to say about advocacy, leadership, and the role of occupational therapy? In this episode we talk about getting comfortable with consequences and how even though occupational therapy practitioners strive to always put the patient first, we may end up undervaluing ourselves as a result.
Alyson Stover, AOTA’s President, and I could have talked for hours! I’m so glad to bring you this conversation that I think puts an important perspective on where we stand as a profession and how we can move forward.
So, this week on The Amplify OT Podcast, I am joined by my guest Alyson Stover, AOTA’s President, as we talk about Alyson’s thoughts on advocacy, leadership and the OT profession.
In this episode we discuss:
- AOTA’s role in Alyson’s experience throughout her career influenced to her desire to give back to the organization and profession as a whole.
- The role of AOTA’s Board of Directors and President
- Whether or not AOTA should be member driven or profession responsive
- Common misconceptions about the role and structures within AOTA.
- How you can go beyond your membership and be an advocate for the profession (& ways you may already be advocating without realizing it.)
- The importance of protecting and promoting the value of the profession at every opportunity.
- How occupational therapy practitioners may be undervaluing their skills to payers and the public.
- Finding the balance of providing access with a service heart and remaining profitable.
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/
Tired of changes at work and feeling like you have no control? Want to increase your bargaining power and knowledge so you can effectively advocate for your services? Then it’s time to check out Mastering OT Policy and Medicare. In 5 easy modules you’ll learn how the healthcare system works, understand the role of OT from the payer perspective, and how we can create change in our healthcare system! Register today at AmplifyOT.com/Medicare
Get on the Amplify OT Membership waitlist at www.amplifyot.com/membership
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.
CONNECT WITH AMPLIFY OT:
- Website
- Work With Me
- Free Newsletter
- TikTok
LINKS MENTIONED IN THIS EPISODE:
- AOTA.ORG
- AOTA Legislative Take Action Page
- Alyson's AJOT article on Advocacy
--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app--- Send in a voice message: https://anchor.fm/amplifyot/messageSupport this podcast: https://anchor.fm/amplifyot/support
A lot of times, we think that policy is something that happens to us, but today’s guest shares how we have an impact on the policies going to congress. This week on The Amplify OT Podcast, it is my great honor to be joined by my guest Heather Parsons, VP of Federal Affairs at the American Occupational Therapy Association, to talk about advocacy and what’s going to congress this November 2022!
In this episode, Heather shares how she bridged the gap from being a school-based therapist to becoming a deputy chief of staff working in politics and what the federal affairs team does at AOTA to support practitioners and the profession every single day.
The legislation we cover in this episode includes:
- The Mental Health Parity Act
- Telehealth
- The Lymphodema Bill
- The Allied Health Workforce Diversity Act
- Medicare Physicians Fee Schedule
- OTA Payment Differential/ Supervision (SMART) Act
Use your voice to take action early and often!
Interested in learning more about advocacy and how legislation like this impacts your practice? Sign up for Mastering OT Policy and Medicare today to be an informed and empowered occupational therapy practitioner!
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 Leadership and Medicare Reimbursement.
Looking for more policy info? Check out the Amplify OT Academcy at https://amplifyot.com/occupational-therapy-continuing-education/
CONNECT WITH AMPLIFY OT:
- Website
- Work With Me
- Free Newsletter
- TikTok
LINKS MENTIONED IN THIS EPISODE:
- Amplify OT: 2022 Fall Advocacy Updates
- Amplify OT: How Medicare Law is Made and What You Can Do
- Click here to view a video presentation on 2022 Fall Advocacy Issues
- Amplify OT: Medicare Physician Fee Schedule (view this article for additional inks on the fee schedule)
- AOTA.ORG
- AOTA Legislative Action Center
- AOTA Advocacy
- Information on AOTPAC
--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app--- Send in a voice message: https://anchor.fm/amplifyot/messageSupport this podcast: https://anchor.fm/amplifyot/support
Now I know compliance is not a word that generally sparks a lot of excitement, however, it is something that is extremely important for both the business owner and us as individual clinicians to protect ourselves and our licenses. That’s why this week on The Amplify OT Podcast, I am talking about the False Claims Act.
In this episode I cover:
- The impacts that failure to follow rules and regulations has on you as a licensed professional.
- What is the OIG and how some facilities are getting busted by them for filing incorrect claims to get a higher payout.
- Important things you should know in regards to the false claims act and how to protect yourself from legal implications.
- The responsibility you as a clinician has to understand the laws yourself instead of relying on your facility.
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.
Resources:
- OIG False Claims Act
- IG Reel: SNF sued for false claims Pt 1: https://www.instagram.com/reel/CgvUZZ3tjli/
- IG Reel: SNF sued for false claims Pt 2: https://www.instagram.com/reel/Cgx3NOyvm-9/
- IG Reel: SNF sued for false claims Pt 3: https://www.instagram.com/reel/Cg0QiNKridY/
Looking for more policy info? Check out the Amplify OT Academy at https://amplifyot.com/occupational-therapy-continuing-education/
Curious how you can best avoid filing a false claim? Learning what Medicare covers and how our healthcare system works is the #1 way to understand the law. Take charge of your career and be the change you want to see with Mastering OT Policy & Medicare. Register today!
CONNECT WITH AMPLIFY OT:
- Website
- Work With Me
- Free Newsletter
- TikTok
This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Send in a voice message: https://anchor.fm/amplifyot/message Support this podcast: https://anchor.fm/amplifyot/support
Note: The COVID-19 PHE has been renewed until January 11, 2023, since this episode was recorded
There may be some confusion between CMS changing policies and the expiration of the COVID-19 public health emergency when it comes to Occupational Therapists starting home health OASIS. That’s why this week on The Amplify OT Podcast, I’m answering a listener question about the policy around who can initiate the OASIS in home health.
In this episode, I cover:
- What to expect when it comes to renewing the COVID-19 public health emergency.
- Why there might be this misconception that there needs to be another discipline doing an evaluation the same day as the OT.
- The financial and liability implications that misunderstanding this policy can have on you as a practitioner.
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.
Did you miss Amplify OT’s OASIS training? Get access to the recording here: https://amplifyot.com/courses/scoring-the-home-health-oasis
CONNECT WITH AMPLIFY OT:
- Website
- Work With Me
- Free Newsletter
- TikTok
LINKS MENTIONED IN THIS EPISODE:
- Home Health OASIS & Value- Based Purchasing [Podcast Episode]
- Patient-Driven Groupings Model (PDGM) in Home Health [Podcast Episode]
- Is Occupational Therapy a Qualifying Service in Home Health [Article]
- What is the Patient-Driven Groupings Model (PDGM) in Home Health [Article]
- Can Occupational Therapists Initiate the OASIS? [Article]
This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Send in a voice message: https://anchor.fm/amplifyot/message Support this podcast: https://anchor.fm/amplifyot/support
If you’re ever confused about a new rule at your facility, ask to see the policy. Not only will it clear up any misunderstandings or uninformed practices, but it also presents an opportunity for everyone to learn and grow in our field. This week on The Amplify OT Podcast, I am answering a listener question about whether or not Medicare puts a limit on the number of minutes of care that you can provide to a patient in a Skilled Nursing Facility or any other setting. In this episode, I cover:
When you should be cautious of “new” Medicare rules. How asking to see the policy can help clarify if the concern you’re dealing with is a Medicare rule or a facility rule disguised under Medicare. My thoughts on why the facility we address in the listener’s question may have said there is a limit on the number of minutes of care under Medicare. How you, as the practitioner, can be prepared to advocate for yourself and your patients.
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 Medicare Reimbursement.
Are you ready to become your own best resource and learn what Medicare ACTUALLY pays for? Then check out Mastering OT Policy & Medicare. This comprehensive course covers everything you need to know about Medicare, billing, health insurance, and advocacy so you can trade "not knowing" for "informed and empowered"! Check it out at amplifyot.com/step/medicare-course
Did you miss Amplify OT’s Section GG training? Get access to the recording here: https://amplifyot.com/product/section-gg-webinar/
CONNECT WITH AMPLIFY OT:
Website Work With Me Free Newsletter Instagram LinkedIn Facebook TikTok
LINKS MENTIONED IN THIS EPISODE:
Patient Driven Payment Model (PDPM) in Skilled Nursing Facilities How Understanding PDPM in Skilled Nursing Facilities Can Make You a Better Clinician
This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Send in a voice message: https://anchor.fm/amplifyot/message Support this podcast: https://anchor.fm/amplifyot/support
The 8-minute rule in billing is used in regard to timed codes by Medicare to determine how many units of therapy you can bill based on the amount of treatment time provided. If how to use the 8-minute rule is confusing to you, you’re not alone. That’s why this week on The Amplify OT Podcast, I am answering a listener question on Medicare's 8-minute rule! In this episode, I cover:
When you will use the 8-minute rule What the 8-minute rule means and how you can apply it in billing. Timed codes vs. untimed codes. Where you might get tripped up in billing and why it can sometimes be referred to as the 15-minute rule. How you can use your time wisely and ensure you are getting paid for the care you are providing.
Billing is such a complex situation, so it is important for you to always go to the source and seek out accurate information. 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/
Mastering OT Policy & Medicare Do productivity talks, Medicare lingo, and reimbursement rules make you want to give up on the profession? Sure, you can keep wrestling with the info provided by your company, looking for documentation shortcuts and posting questions in Facebook groups while hoping you’re doing things right, OR you could carve out a bit of time to learn, and in return, you’ll be able to understand policy basics, know where to find the correct answers, and successfully advocate for yourself and your patients. Are you ready to trade that feeling of not knowing for being an informed and empowered occupational therapy practitioner? Sign up for the Mastering OT Policy & Medicare Course before October 14th, 2022! P.S. I cover the 8-minute rule and other OT billing information in depth in the course! Don't delay and sign up today!
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. Did you miss Amplify OT’s OASIS training? Get access to the recording here: https://amplifyot.com/courses/scoring-the-home-health-oasis CONNECT WITH AMPLIFY OT:
Website Work With Me Free Newsletter Instagram LinkedIn Facebook TikTok
This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Send in a voice message: https://anchor.fm/amplifyot/message Support this podcast: https://anchor.fm/amplifyot/support
I had known that I wanted to take on a capstone student but was nervous I wasn’t quite ready for it. When I met Crystal, her drive and curiosity were everything I needed to assure me that I was ready and she was the perfect match. That’s why this week on The Amplify OT Podcast, I am talking to Crystal, who has been working with me for the last 14 weeks and joined me today to share what she’s learned and give more insight into her capstone experience.
In this episode, Crystal and I cover:
- What led to Crystal’s curiosity in advocacy and how we came to work together.
- Crystal’s role in creating the New Grad Reimbursement Guide course.
- The additional knowledge Crystal gained through doing her capstone with Amplify OT that she wouldn’t have gotten elsewhere.
- Myths around policy and engaging in advocacy that Crystal once believed were proven untrue during her capstone work.
- What’s next for Crystal in her career as an OT.
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.
CONNECT WITH AMPLIFY OT:
- Website
- Work With Me
- Free Newsletter
- TikTok
LINKS MENTIONED IN THIS EPISODE:
Crystal’s Blog Post: https://amplifyot.com/advocacy-capstone-experience-2022/
Course Sign-up - https://amplifyot.com/new-grad-guide
This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Send in a voice message: https://anchor.fm/amplifyot/message Support this podcast: https://anchor.fm/amplifyot/support
I'm trying something new in this episode! I typically upload 1-2 Q&A videos to my youtube channel each month where I answer commonly asked questions. Some of you expressed you'd like to have the audio of these Q&As shared on the podcast as well!
These episodes will always be short and sweet. I'll mark them with a Q&A at the front so if you aren't a fan you can skip right past them :)
Let me know what you think!!
In this episode I cover,
- Answering the question: "Is OT a qualifying discipline in Home Health?"
- What a qualifying service means
- Medicare Part A Home Health Benefit
- When OT can 'stand alone' or be a qualifying service
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/.
If you want your question answered, send me a voice memo and I'll put it on my list!
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.
Did you miss Amplify OT’s OASIS training? Get access to the recording here: https://amplifyot.com/courses/scoring-the-home-health-oasis
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The OASIS is part of the initial and comprehensive assessment that you have to complete on all Medicare and Medicaid patients in home health and is a way that CMS is showing their commitment to standardizing the way in which we assess patients in post-acute care across all patients. That’s why this week on The Amplify OT Podcast, I am talking all things OASIS and the upcoming home health Value-Based Purchasing program.
In this episode I cover:
- What is the OASIS, new changes, and new measures to be aware of.
- The importance of accurate scoring and how you can use the free manual to do so.
- How scoring with OASIS differs from Section GG scoring and why it is vital to understand the differences.
- Observation vs. interview and examples of when it makes a difference.
- Everything you need to know about the upcoming Value-Based Purchasing program.
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.
Did you miss Amplify OT’s OASIS training? Get access to the recording here: https://amplifyot.com/courses/scoring-the-home-health-oasis
CONNECT WITH AMPLIFY OT:
- Website
- Work With Me
- Free Newsletter
- TikTok
LINKS MENTIONED IN THIS EPISODE:
- FREE OASIS D Scoring Guidance Manual
- OASIS E Guidance Manual Draft
- Home Health Value-Based Purchasing (HH VBP) Resources
This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
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There are a lot of misconceptions out there about PDGM so let's set the record straight! PDGM is the new home health payment system for Medicare which was implemented on January 1, 2020.
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This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
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Have you ever felt like no one listens to your clinical judgment when it comes to discharge planning? I used to feel like this until I started talking to case managers more and learned more about how much influence insurance coverage has on discharge plans. I had some basic knowledge but really learned a lot from them. Once we were all on the same page, making discharge planning was a lot less painful for everyone involved. If you want to learn this information and feel confident discussing it with others, sign up for the New Grad Reimbursement Guide Course! Sign-ups close June 30th so head over now and save your spot - https://amplifyot.com/new-grad-guide
This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Send in a voice message: https://anchor.fm/amplifyot/message Support this podcast: https://anchor.fm/amplifyot/support
Support Amplify OT and our FREE content by making a donation!
Podcast Resources:
- Sign up for our free newsletter: https://amplifyot.com/sign-up
- Therapy Blogging 101 Course - Use code CLARICE20 for $20 off your course!
- Start your podcast: Anchor.fm
- Join AOTA
- Learn more about the OT Compact
- AOTA Advocacy Page
This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
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Let's talk about how exactly Medicare law is created! This episode goes with this article on my website https://amplifyot.com/how-medicare-law-is-made-and-what-you-can-do/
Links mentioned in the show:
How to Advocate as an OT Practitioner and Student Therapy Blogging 101 Course - Use code CLARICE20 for $20 off your course! Start your podcast: Anchor.fm Using the OTA and PTA Modifier for Outpatient Therapy
Support the Amplify OT Podcast and keep that FREE content flowing!
This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
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Today's episode is all about PDPM in Skilled Nursing Facilities (SNF). We talk about the fundamentals of the old payment system or RUG levels and how it is different from the payment model we have today. We also take a good look at Section GG, its impact on reimbursement and quality outcomes, how therapy specifically is paid for, group and concurrent therapy, and more!
As promised, here are the links I mentioned in the show.
Sign up on Patreon for ad-free content: www.patreon.com/amplifyot
Link to the SNF/HH Workshop with OT Flourish: amplifyot.teachable.com
Link to the Virtual Geriatric Therapy Summit*
*indicates an affiliate link
This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Send in a voice message: https://anchor.fm/amplifyot/message Support this podcast: https://anchor.fm/amplifyot/support
This episode covers the main insurance types you will see as a therapy provider including private insurance, Medicare, Medicaid, and others. We review the common insurance terms and how visit limits and therapy coverage can impact how and when we provide care.
Amplify OT Article on this topic: https://amplifyot.com/health-insurance-in-occupational-therapy-plan-of-care/
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Sign up for our free newsletter at www.amplifyot.com
Head to amplifyot.com/occupational-therapy-mentoring to see how I can help you achieve your goals!
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Here is the link to the article on 2022 Medicare changes we are seeing in 2022
https://amplifyot.com/2022-medicare-regulation-changes/
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Up to 10% reimbursement cuts may be coming for Medicare Part B for occupational and physical therapy service on January 1, 2022. This is in addition to the OTA Modifier. Up to 6% cuts may be coming for Medicare Part A. Write your legislators today at www.aota.org/takeaction
Here is my article on last years Medicare cuts that talk a bit more about the Medicare Physician Fee Schedule https://amplifyot.com/medicaretherapycut/
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This episode looks at the occupational therapy assistant (OTA) and physical therapy assistant (PTA) payment modifier reduction. This reduction takes effect January 1, 2022. The information in this episode was accurate at the time it was published. As with all things in policy, things may change by the time you listen to it.
AOTA Take Action Link: www.aota.org/takeaction
Amplify OT Articles
- How to Apply the OTA/PTA Modifier article- https://amplifyot.com/applying-the-ota-and-pta-modifier-co-cq-for-outpatient-therapy/
- Sign up for my free newsletter to get it delivered to your inbox as soon as it is finished
- Take Action Now to Delay the OTA Payment Modifier Reduction
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Send in a voice message: https://anchor.fm/amplifyot/message Support this podcast: https://anchor.fm/amplifyot/support