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.

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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

Want to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!

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CONNECT WITH AMPLIFY OT:

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LINKS MENTIONED IN THIS EPISODE:

• Ep 56:

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

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
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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

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
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LINKS MENTIONED IN THIS EPISODE:

• Register to Vote!

...

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

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
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• 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!...

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

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
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©Amplify OT

Mentioned in this episode:

Join the Amplify OT Membership

As a exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.

Join the Membership Today

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

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
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LINKS MENTIONED IN THIS EPISODE:

• CMS.gov State Operations Manual- Survey and Enforcement Process for Skilled Nursing Facilities and Nursing Facilities
• U.S. Bureau of Labor Statistics: Occupational Employment and Wage Statistics for SNFs (May 2023)

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

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
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LINKS MENTIONED IN THIS EPISODE:

• Ep 50: Volume-Based vs. Value-Based Reimbursement Models in OT
• CMS Finalizes Rule to Expand Access to Health Information and Improve the Prior Authorization Process [CMS.gov Article]
• Medicare Advantage in 2023: Enrollment Update and Key Trends [KFF.org Article]
• Medicaid: Last Week Tonight with John Oliver [YouTube]

...

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.

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

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