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المحتوى المقدم من Clarice Grote, MS, OTR/L, Clarice Grote, and MS. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة Clarice Grote, MS, OTR/L, Clarice Grote, and MS أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.

<div class="span index">1</div> <span><a class="" data-remote="true" data-type="html" href="/series/standup-comedy-your-host-and-mc">Standup Comedy "Your Host and MC"</a></span>

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Standup Comedy "Your Host and MC"

إلغاء الاشتراك

منذ 4 أياممنذ 4d ago

إلغاء الاشتراك

أسبوعيا+

Celebration of 40+ years on the fringe of show business. Stories, interviews, and comedy sets from standup comics... famous, and not so famous. All taped Live on my Comedy stage. The interviews will be with comics, old staff members, and Friends from the world of Comedy. Standup Sets by Dana Carvey, Jay Leno, Tom Dreesen, Jerry Seinfeld, Larry Miller, Mark Schiff, Bobcat Goldthwait, Paula Poundstone, Garry Shandling, Ray Ramano, Cathy Ladman, Willie Tyler & Lester, and MORE. My web site has many pictures, items for sale, and more information www.standupcomedyyourhostandmc.com

The Amplify OT Podcast « »
Ep 57: Addressing Fraud And Upholding the Professional Integrity of OTs [Strengthening Occupational Therapy from Within]

منذ عام واحد 44:18

MP3•منزل الحلقة

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 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:

LINKS MENTIONED IN THIS EPISODE:

©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

61 حلقات

#Fitness #Podcasting Education #Medicine #Clarice Grote, MS, OTR/L #Clarice Grote #Home Health

Ep 57: Addressing Fraud And Upholding the Professional Integrity of OTs [Strengthening Occupational Therapy from Within]

The Amplify OT Podcast

published منذ عام واحد

MP3•منزل الحلقة

Addressing Fraud And Upholding the Professional Integrity of OTs [Strengthening Occupational Therapy from Within]

Join the Amplify OT Membership

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 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:

LINKS MENTIONED IN THIS EPISODE:

©Amplify OT

Mentioned in this episode:

Join the Amplify OT Membership

Join the Membership Today

61 حلقات

#Fitness #Podcasting Education #Medicine #Clarice Grote, MS, OTR/L #Clarice Grote #Home Health

كل الحلقات

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Ep 60: Healthcare Changes for 2025: End of Year Review 28:48

منذ عام واحد28:48

28:48

Healthcare Changes for 2025: End of Year Review With 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 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: 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 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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Ep 59: Voting for Healthcare in the 2024 Election: Breaking Down Trump and Harris’ Policies 1:09:23

منذ عام واحد1:09:23

1:09:23

Voting for Healthcare in the 2024 Election The 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 Act ACA 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 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…

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Ep 58: PACE Programs: Patient-Centered Care in Action with Courtney Barr 51:11

منذ عام واحد51:11

51:11

PACE Programs: Patient-Centered Care in Action with Courtney Barr While 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 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: National PACE Association Mastering Medicare Episode 25: PACE Program Deep Dive ©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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Ep 57: Addressing Fraud And Upholding the Professional Integrity of OTs [Strengthening Occupational Therapy from Within] 44:18

منذ عام واحد44:18

44:18

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 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: 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…

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Ep 56: Social Media's Impact on Our Professional Trust and Credibility [Strengthening Occupational Therapy from Within] 41:35

منذ عام واحد41:35

41:35

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 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: 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…

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Ep 55: How the Overturn of the Chevron Deference Will Impact The Future of Healthcare with John Miller 47:35

منذ عام واحد47:35

47:35

How the Overturn of the Chevron Deference Will Impact The Future of Healthcare with John Miller If 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 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: 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…

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Ep 54: Stop Saying "No One Knows What Occupational Therapy Is" 34:13

منذ عام واحد34:13

34:13

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 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…

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Ep 53: Insurance and How It Impacts Our Plan of Care [Replay] 25:05

منذ عام واحد25:05

25:05

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! 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. 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 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…

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Ep 52: Skilled Nursing Facilities vs. Nursing Homes: What You Need to Know 31:59

منذ عام واحد31:59

31:59

Skilled Nursing Facilities vs. Nursing Homes: What You Need to Know Often 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 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: 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 ©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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Ep 51: Decoding Medicare Advantage and Medicaid MCOs: Understanding the Coverage 34:09

منذ عام واحد34:09

34:09

Decoding Medicare Advantage and Medicaid MCOs: Understanding the Coverage You 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 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: 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 [YouTube] ©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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Ep 50: Volume-Based vs. Value-Based Reimbursement Models in OT 33:31

منذ عام واحد33:31

33:31

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 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 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 ©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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Ep 49: Amplifying Impact: Clarice’s Journey from Clinician to OT Visionary 1:04:33

منذ عام واحد1:04:33

1:04:33

Amplifying Impact: Clarice’s Journey from Clinician to OT Visionary I 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 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 OT Merch Instagram LinkedIn Facebook TikTok LINKS MENTIONED IN THIS EPISODE: Sign Up for the Amplify Therapy Summit ©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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Ep 48: Spring 2024 Amplify OT and Healthcare Advocacy Updates 38:22

منذ عام واحد38:22

38:22

Spring 2024 Amplify OT and Healthcare Advocacy Updates 2023 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 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: 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 ©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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Ep 47: Patient-Driven Payment Model (PDPM) in Skilled Nursing Facilities [Replay] 26:46

منذ عام واحد26:46

26:46

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 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: Amplify OT SNF Resources ©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…

1
Ep 46: From Policy to Practice: Everything You Need to Know About Section GG 39:39

منذ عام واحد39:39

39:39

From Policy to Practice: Everything You Need to Know About Section GG Section 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 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: 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. ©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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The Amplify OT Podcast « » Ep 57: Addressing Fraud And Upholding the Professional Integrity of OTs [Strengthening Occupational Therapy from Within]

Addressing Fraud And Upholding the Professional Integrity of OTs [Strengthening Occupational Therapy from Within]

Amplify OT Resources

Ep 57: Addressing Fraud And Upholding the Professional Integrity of OTs [Strengthening Occupational Therapy from Within]

Addressing Fraud And Upholding the Professional Integrity of OTs [Strengthening Occupational Therapy from Within]

Amplify OT Resources

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The Amplify OT Podcast « »
Ep 57: Addressing Fraud And Upholding the Professional Integrity of OTs [Strengthening Occupational Therapy from Within]