The Amplify OT Podcast
Clarice Grote, MS, OTR/L
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Welcome to the Amplify OT Podcast. I’m Clarice Grote 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!
Learn more about Amplify OT at www.amplifyot.com
Available episodes
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Oct 31, 2023
Ep 38: Medicare and Medicaid Policy Updates: RUGS, PDPM, MDS
Medicare and Medicaid Policy Updates: RUGS, PDPM, MDS
Is 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 Resources
Want 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
* Instagram
* LinkedIn
* Facebook
* TikTok
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
*
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Oct 31, 2023
Ep 39: Fall 2023 Amplify OT and Healthcare Policy Updates {Bonus Episode}
Fall 2023 Amplify OT and Healthcare Policy Updates {Bonus Episode}
This bonus episode is outside of our regularly scheduled content but I wanted to pop in and give you some updates and let you know about policy changes going into effect.
Join the Amplify OT 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.
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 Resources
Want 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
* Instagram
* LinkedIn
* Facebook
* TikTok
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
*
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Oct 17, 2023
Ep 37: When OT Can Stand Alone in Home Health
When OT Can Stand Alone in Home Health
How many visits does another qualified practitioner have to complete before occupational therapy can stand alone for a Medicare home health patient? This is a question I got asked more than once and wanted to take the time to get to the bottom of this question and address some of the myths around the order of service. That’s why this week on The Amplify OT Podcast, I am breaking down the criteria for OT to stand alone in home health.
Join the Amplify OT 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:
* 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 Resources
Want 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
* Instagram
* LinkedIn
* Facebook
* TikTok
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
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
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Oct 3, 2023
Ep 36: Diving into Deductibles: Untangling the Complexity of Health Insurance Pricing
Diving into Deductibles: Untangling the Complexity of Health Insurance Pricing
Deductibles are an important, yet often misunderstood factor in the American health insurance system. I recently got asked a question from someone wondering if we truly have our health insurance if it doesn't kick in until our deductible is paid. That’s why this week on The Amplify OT Podcast, I am breaking down the reasons deductibles are incorporated into our health insurance plans!
Join the Amplify OT 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 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 Resources
Want 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
* Instagram
* LinkedIn
* Facebook
* TikTok
©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
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
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Sep 19, 2023
Ep 35: Billing for Point of Service (POS) Documentation
Billing for Point of Service (POS) Documentation
Questions 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 Resources
Want 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
* Instagram
* LinkedIn
* Facebook
* TikTok
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/
*
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Sep 5, 2023
Ep 34: Doing Your Due Diligence as a Licensed OT Practitioner with Raphie Wagner
Doing Your Due Diligence as a Licensed OT Practitioner with Raphie Wagner
You hear me preach on the podcast all the time about doing your due diligence in order to protect your license. We’re going to drive this point home in today’s episode as our guest, Raphie Wagner learned firsthand the consequences of not doing her due diligence as an OT. That’s why this week on The Amplify OT Podcast, I am talking about doing your due diligence as a licensed OT practitioner.
Join the Amplify OT 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, 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 Resources
Want 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
* Instagram
* LinkedIn
* Facebook
* TikTok
CONNECT WITH RAPHIE WAGNER:
* Instagram @otraphie
©Amplify OT
Mentioned in this episode:
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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!
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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...
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Aug 22, 2023
Ep 33: How Management Shapes Our Perspective: Transitioning Into Director of Rehab with Lauren Burns
How Management Shapes Our Perspective: Transitioning Into Director of Rehab with Lauren Burns
Stepping into a leadership role comes with its own unique mindset challenges of imposter syndrome, finding balance, and just the adjustment to new responsibilities and perspectives. That’s why this week on The Amplify OT Podcast, I’m joined by Lauren Burns to talk about how management shapes our perspective!
Join the Amplify OT 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, 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 Resources
Want 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
* Instagram
* LinkedIn
* Facebook
* TikTok
©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
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!
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Aug 8, 2023
Ep 32: Decoding Medicare's Alphabet Soup: Medicare Plans
Decoding Medicare's Alphabet Soup: Medicare Plans
It is no wonder so many people get confused about the difference between Medicare plans as they are only distinguished by a different letter of the alphabet. As an OT practitioner, it is always helpful to know the difference between plans so that you can not only help yourself but so that you can help your patients better understand the plan they have. That’s why this week on The Amplify OT Podcast, I am talking about Medicare plans!
Join the Amplify OT 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:
* 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 Resources
Want 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
* Instagram
* LinkedIn
* Facebook
* TikTok
©Amplify OT
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
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Jul 25, 2023
Ep 31: Direct Access in OT: Do I Need a Physician's Prescription?
Direct Access in OT: Do I Need a Physician's Prescription?
Another question I often get asked is whether or not occupational therapists need a physician’s referral in order to see a patient. This question primarily comes up in private practice or outpatient settings where the patient can ask for occupational therapy services. That’s why this week on The Amplify OT Podcast, I am talking about direct access in occupational therapy!
Join the Amplify OT 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 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 Resources
Want 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
* Instagram
* LinkedIn
* Facebook
* TikTok
©Amplify OT
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
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Jul 11, 2023
Ep 30: 2023 Mid-Year OT Advocacy Updates You Can Take Action On TODAY
2023 Mid-Year OT Advocacy Updates You Can Take Action On TODAY
We are officially mid-way through the year and some exciting things are finally being introduced to Congress. This means we have the opportunity to step up and be an advocate for change within the Occupational Therapy profession. That’s why this week on The Amplify OT Podcast, I am talking about the advocacy updates you can take action on today!
Join the Amplify OT 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:
* AOTA will soon introduce Home Health Accessibility Act which if passed would make OT a qualifying discipline in home health.
* The Occupational Therapy Mental Health Parity Act has officially been re-introduced into Congress.
* The Expanded Telehealth Access Act has been re-introduced to Congress listing OT practitioners as being eligible to provide Telehealth under Medicare Part B.
* The SHARE Act creates a technical fix allowing information to be shared between states and the FBI which is important for the licensure compact.
* Updates on the Allied Health Workforce Diversity Program asking for funding.
* HR 1114 (The Long-Covid RECOVERY NOW Act) providing funding to support treatments for patients experiencing the effects of long covid.
* Breaking down AOTA, APTA, and ASHA’s letter calling out problems on several principals and providing potential solutions moving forward for Medicare Part B! It’s a spicy one!
Amplify OT Resources
Want to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!
Sign up for the Mastering OT Policy and Medicare LIVE intensive - amplifyot.com/certification
CLICK HERE to save 40% off Medbridge Today!
CONNECT WITH AMPLIFY OT:
* Website
* Services
* Free Newsletter
* Instagram
* LinkedIn
* Facebook
* TikTok
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:
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Jun 27, 2023
Ep 29: Inspiring Innovation: OT in Tech, DME and Entrepreneurship with Dr. Brandy Archie
Inspiring Innovation: OT in Tech, DME and Entrepreneurship with Dr. Brandy Archie
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 f…
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Jun 13, 2023
Ep 28: How to be Successful in Inpatient Rehab as an OT Practitioner with Courtney the OT
How to be Successful in Inpatient Rehab as an OT Practitioner with Courtney the OT
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.
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, Courtney and I cover:
* The biggest differences between SNF and inpatient rehab.
* Understanding insurance to best set patient expectations…
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May 30, 2023
Ep 27: The Role of OT in Acute Care and the Challenges of Discharge Planning
The Role of Occupational Therapy in Acute Care and the Challenges of Discharge Planning
Clarice Grote, MS, OTR/L
The Amplify OT Podcast website
In acute care settings when it comes to getting your patients home safely, it truly is a team effort between the occupational therapists and case management team to make decisions and placements in the best interest of the patient. That’s why this week on The Amplify OT Podcast, Alyssa and I are talking about the role of occupational therapy in acute care and the challenges of discharge planning!
Join the Amplify OT 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, 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…
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May 2, 2023
Ep 26: Can OT and PT Co-Treat in Acute Care?
Can Occupational Therapy and Physical Therapy Co-Treat in Acute Care?
Clarice Grote, MS, OTR/L
The Amplify OT Podcast website
A question I see a lot on social media and in my DMs is about if PT and OT can co-treat in acute care and if so, how can they make sure it is being billed correctly. That’s why this week on The Amplify OT Podcast, I’m breaking down how PT and OT can correctly bill for cotreatments in acute care settings.
Join the Amplify OT 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 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 throu…
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Apr 18, 2023
Ep 25: How the Expiration of the COVID-19 PHE Impacts Occupational Therapy. Are you Ready?
The End of the COVID-19 Public Health Emergency
If you’re listening to this episode when it is released, we’ve gotten used to our “new normal” following the COVID-19 pandemic. This “normal” is about to shift yet again as the COVID-19 public health emergency officially comes to an end on May 11th, 2023. That’s why this week on The Amplify OT Podcast, I am sharing what to expect for the end of the COVID-19 public health emergency.
Join the Amplify OT 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 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 abili…
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Apr 4, 2023
Conversations on Creating Change in the OT Profession & Our Opinions on the Full Scope OT Movement with Brock from The Occupied Podcast
Conversations on Creating Change in the OT Profession & Our Opinions on the Full Scope OT Movement with Brock from The Occupied Podcast
Clarice 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…
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Mar 21, 2023
Ep 23: How to Choose the Correct CPT® Codes with Mandy Chamberlain of OT Flourish
How to Choose the Correct CPT® Codes with Mandy Chamberlain of OT Flourish
Questions about billing are some of the most common questions we get asked because if things are not billed correctly, not only can you be undervaluing yourself as a practitioner, it creates this trickle-down effect that impacts everyone involved. That’s why this week on The Amplify OT Podcast, my guest Mandy Chamberlain, from OT Flourish, and I are discussing how to choose the correct CPT codes!
Join the Amplify OT 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.
*…
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Mar 7, 2023
Ep 22: Everything You Need to Know About Skilled OT Services
Occupational Therapy Skilled Services
Clarice 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 valu…
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Feb 21, 2023
Ep 21: Is AOTA Advocating for You? Meet the Team!
Occupational Therapy Advocacy and AOTA Advocacy Efforts and Team
Clarice Grote, MS, OTR/L
The Amplify OT Podcast website
Advocacy is one of my favorite soap boxes to stand on because we as clinicians have a huge responsibility to advocate for the continued and future success of our profession. That’s why this week on The Amplify OT Podcast, I am talking about advocacy at the state and federal levels.
Join the Amplify OT 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 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…
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Jan 26, 2023
Ep 20: 2022 Year-End OT Advocacy Wins and Losses for OT
2022 Occupational Therapy Advocacy Wins and Loses
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!
Episode Article and Resources: amplifyot.com/end-of-year-2022-legislative-updates-its-impact-on-ot/
Join the _Amplify OT Membership_ today to take control of your career! It’s time to become your own best resource on Medicare and advocacy!
Congress ended its term with a massive 1.7 Trillion Dollar legislative package- The Omnibus Reconciliation Act of 2023 (otherwise referred to as the Omnibus Bill). Within this bill, there are quite a few healthcare policies that impact our practice.
To recap, here are some of the wins and areas for improvement that resulted from the 117th Congress:
_The Wins:_
* The Allied Heal…
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Jan 26, 2023
Special Episode: Can You Justify the Need for Occupational Therapy?
Can You Justify the Need for Occupational Therapy?
Clarice Grote, MS, OTR/L
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.
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.
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Looking for more policy info? Check out our articles at www.amplifyot.co…
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Dec 20, 2022
Ep 18: Conversations with AOTA’s President, Alyson Stover, on Advocacy, Leadership, and Membership
Conversations with AOTA’s President, Alyson Stover, on Advocacy, Leadership, and Membership
Clarice Grote, MS, OTR/L
The Amplify OT Podcast website
Curious about 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.
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Dec 6, 2022
Ep 17: Advocacy Initiatives for 2022 with Heather Parsons, VP of Federal Affairs at AOTA
Advocacy Initiatives for 2022
Clarice Grote, MS, OTR/L
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.
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.
The legislation we cover in this episode…
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Nov 22, 2022
Ep 16: False Claims Act - It's More Than Billing for Services That Weren't Provided
False Claims Act - It's More Than Billing for Services That Weren't Provided
Clarice Grote, MS, OTR/L
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.
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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 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 regard to the false claims act and h…
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Nov 8, 2022
Ep 15: Is CMS Changing its Policy About if OT Can Initiate the OASIS in Home Health?
Is CMS changing its policy about if Occupational Therapists can initiate the OASIS in Home Health?
Clarice Grote, MS, OTR/L
**Note: It has since been announced that the COVID-19 PHE will end on May 11, 2023 - Read more here**
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.
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 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 dis…
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Oct 25, 2022
Ep 14: Does Medicare Limit the Number of Minutes an OT Can Provide in SNF? - Social Media Q&A
Does Medicare Limit the Number of Minutes an OT Can Provide in SNF?
Clarice Grote, MS, OTR/L
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, it presents and 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.
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:
* 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.
* M…
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Oct 12, 2022
Ep 13: Medicare's 8-Minute Rule: OT Billing Q&A
Medicare's 8-Minute Rule
Clarice Grote, MS, OTR/L
The 8-minute rule in billing is used in regard to time codes by Medicare to determine how many units of therapy you can bill underneath a timed code 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 the 8-minute rule of billing!
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:
* 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 wise…
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Aug 29, 2022
Ep 12: Perspective on Policy & Advocacy from Crystal, Amplify OT's Capstone Student
Perspective on Policy & Advocacy from Crystal, Amplify OT's Capstone Student
Clarice Grote, MS, OTR/L
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.
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, 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…
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Aug 23, 2022
Ep 11: Q&A: Is OT a Qualifying Discipline in Home Health
Is Occupational Therapy a Qualifying Discipline in Home Health?
Clarice Grote, MS, OTR/L
This week, I'm trying something new. 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!
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:
* 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 li…
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Aug 15, 2022
Ep 10: Home Health OASIS & Value-Based Purchasing
Home Health OASIS & Value-Based Purchasing
Clarice Grote, MS, OTR/L
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.
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 OASIS & new changes and 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 un…
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Jul 23, 2022
Ep 9: Patient-Driven Groupings Model (PDGM) in Home Health
Patient-Driven Groupings Model (PDGM) in Home Health
Clarice Grote, MS, OTR/L
There are a lot of misconceptions out there about the Patient-Driven Groupings Model (PDGM) so I am here to set the record straight!
PDGM is the new home health payment system for Medicare which was implemented on January 1, 2020.
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.
Free OT Reimbursement Podcast Playlist
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
* Instagram
* LinkedIn
* Facebook
* TikTok
© Amplify OT an…
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Jun 18, 2022
Ep 8: How to Make a Successful Occupational Therapy Discharge Plan
How to Make a Successful Occupational Therapy Discharge Plan
Clarice Grote, MS, OTR/L
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.
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.
Free OT Reimbursement Podcast Playlist
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 f…
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May 25, 2022
Ep 7: Occupational Therapy Licensure Compact with Meghan Pudeler from AOTA
Occupational Therapy Licensure Compact with Meghan Pudeler
Clarice Grote, MS, OTR/L
Today I am joined by Meghan Pudeler to discuss OT licensure compact!
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.Free OT Reimbursement Podcast Playlist
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
* Instagram
* LinkedIn
* Facebook
* TikTok
© 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…
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Apr 20, 2022
Ep 6: How Medicare Law is Made
How Medicare Law is Made
Clarice Grote, MS, OTR/L
Let’s talk about how 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/
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.
Free OT Reimbursement Podcast Playlist
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
* Instagram
* LinkedIn
* Facebook
* TikTok
© Amplify OT and Clarice Grote
Mentioned in this episode:
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Feb 25, 2022
Ep 5: Patient-Driven Payment Model (PDPM) in Skilled Nursing Facilities
Patient-Driven Payment Model (PDPM) in Skilled Nursing Facilities
Clarice Grote, MS, OTR/L
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.
In this episode, I cover the fundamentals of the old payment system (or RUG levels) and how it is different from the payment model we have today. I also take a good look at Section GG, it’s impact on reimbursement and quality outcomes, how therapy specifically is paid for, group and concurrent therapy, and more!
Free OT Reimbursement Podcast Playlist
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…
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Jan 20, 2022
Ep 4: Insurance and How It Impacts Our Plan of Care
Insurance and How It Impacts Our Plan of Care
Clarice Grote, MS, OTR/L
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!
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 review the common insurance terms and how visit limits and therapy coverage can impact how and when we provide care.
Check out the link to the Amplify OT article on this topic: https://amplifyot.com/health-insurance-in-occupational-therapy-plan-of-care/
Free OT Reimbursement Podcast Playlist
What to keep learning about insurance and reimbursement without wasting time? Head HERE to get your free OT Reimbursement Playlist an…
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Jan 6, 2022
Ep 3: 2022 Medicare Updates: Home Health, Medicare Sequester, and More
2022 Medicare Updates: Home Health, Medicare Sequester, and More
Clarice Grote, MS, OTR/L
As you may remember, we had a lot of new and proposed rules come out this fall so I wanted to take some time to cover the new changes we will be experiencing in the new year. This week on The Amplify OT Podcast, I am talking about 2022 Medicare updates!
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.
In this episode, I cover updates on home health, Medicare sequester, and more!
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 M…
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Dec 7, 2021
Ep 2: Take Action: Stop the Medicare Cuts for 2022
Stop Medicare Cuts for 2022
Clarice Grote, MS, OTR/L
Up to 10% reimbursement cuts may be coming for Medicare Part B for occupational and physical therapy services 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 year's Medicare cuts that talk a bit more about the Medicare Physician Fee Schedule https://amplifyot.com/medicaretherapycut/
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.Free OT Reimbursement Podcast Playlist
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…
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Dec 4, 2021
Ep 1: The Occupational Therapy Assistant Modifier
Occupational Therapy Assistant Modifier
Clarice Grote, MS, OTR/L
This episode looks at the occupational therapy assistant (OTA) and physical therapy assistant (PTA) payment modifier reduction. This reduction takes effect on 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.
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. 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.
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-ou…
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Nov 18, 2021
Welcome to the Amplify OT Podcast
Welcome to the Amplify OT Podcast!
Clarice Grote, MS, OTR/L
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!
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.Free OT Reimbursement Podcast Playlist
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:…
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