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!

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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.

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 $101 off Medbridge Today!

CONNECT WITH AMPLIFY OT:

• Website
• Services
• Free Newsletter
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LINKS MENTIONED IN THIS EPISODE:

• MDS 3.0 RAI Manual v1.17.1_October 2019 - reference Page 507 Therapy Minutes
• 11 Part B Billing Scenarios for PTs and OTs | CMS

Links to IG Reels on Billing

• https://www.instagram.com/reel/Cw8AAgXuQRJ/
• https://www.instagram.com/reel/Cw8QWX3xkFU/
• https://www.instagram.com/reel/Cw8hUUfx54A/

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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.

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In this episode, Raphie and I cover:

• How Raphie’s lengthy career as an OT in many settings has shaped her perspective of the profession as a whole.
• Doing your own due diligence on policies and license requirements, NOT just trusting your employer in doing theirs.   
• The mistake that cost Raphie $20,000, countless hours, and a disciplinary action that is connected to her license still to this day. 
• A word of caution for any new grads considering entering into the travel space.
• Having your own liability insurance to fall back on to protect yourself. 
• The huge importance of getting involved in your state association.

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 $101 off Medbridge Today!

CONNECT WITH AMPLIFY OT:

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CONNECT WITH RAPHIE WAGNER:

• Instagram @otraphie 

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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!

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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.

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 $101 off Medbridge Today!

CONNECT WITH AMPLIFY OT:

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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!

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

In this episode, I cover:

• Defining the differences between Medicare and Medicaid.
• Covering Medicare Part A, B, C, and D - who is eligible for them, what each of them covers, and anything else you need to know up front.
• Why Medicare Part C (also known as Medicare Advantage Plans) can be tricky to navigate. 
• Touching on supplemental plans- what they are, who is eligible for them and how they work.  

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 $101 off Medbridge Today!

CONNECT WITH AMPLIFY OT:

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Another question I often get asked is whether or not occupational therapists need a physician’s referral in order to see a patient. This question primarily comes up in private practice or outpatient settings where the patient can ask for occupational therapy services. That’s why this week on The Amplify OT Podcast, I am talking about direct access in occupational therapy!

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

In this episode, I cover:

• The two questions we must consider when discussing whether or not you need a physician's prescription in order to see a patient 
• Where you can find information on your State Practice Act and why, even if you find information for your state you may still be confused. 
• Walking you through some scenarios to help you better understand and navigate direct access. 
• What you need to know when it comes to direct access for Medicare patients.

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 $101 off Medbridge Today!

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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!

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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:

• 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!

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 $101 off Medbridge Today!

CONNECT WITH AMPLIFY OT:

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LINKS MENTIONED IN THIS EPISODE:

• AOTA joins with APTA, ASHA and APTA private practice to release policy principles for outpatient therapy reform
• Applying the OTA and PTA Modifier (CO/CQ) for Medicare Part B
• AOTA Take Action Page: www.aota.org/takeaction 
• Amplify OT • Cash-Based Occupational Therapy & Medicare 
• Congressional therapy champions reintroduce bill to make occupational therapy practitioners permanent telehealth providers | AOTA 
• AOTA Fact Sheet on OT’s Value in Home Health as a Medicare Qualifying Service
• Occupational Therapy Mental Health Parity Act Reintroduced in Senate | AOTA 

Helpful Links

• AOTA's Advocacy Page
• 2023 Medicare Part B Cuts for Occupational Therapy: Medicare Physician Fee Schedule
• How To Bill Occupational Therapy Under Medicare Part B
• Take Action Now to Delay the OTA Payment Modifier Reduction
• Amplify OT • AOTA Advocacy & Our Role in Advocating for OT

©Amplify OT

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. 

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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, Dr. Brandy and I cover:

• Why occupational therapists make for great entrepreneurs. 
• How Ask Samie helps patients, family members, and clinicians easily find the right adaptable equipment without the guesswork. 
• Resources to walk you through the steps and provide prompts to get equipment covered by your insurance. 
• Leveraging your documentation as a way to show your skilled and professional knowledge and to better help patients get the equipment they need.
• Understanding the laws so you can provide more options to your patients. 
• How the Licensure Compact could open up a useful opportunity for businesses. 

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 $101 off Medbridge Today!

Looking for more policy info? Check out our articles at www.amplifyot.com/articles 

CONNECT WITH DR. BRANDY ARCHIE:

• Ask Samie
• LinkedIn

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© Amplify OT® and Clarice Grote

The Amplify OT Podcast website

I’ve talked before on the podcast about the importance of continually learning and being well-versed in your knowledge of the profession within your setting and across other settings to best support yourself as the practitioner and ensure your patients are getting the best quality of care. That’s why this week on The Amplify OT Podcast I am sitting down with Courtney to talk all things inpatient rehab and understanding insurance to best support your patients' needs.

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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 and support them during the time you have with them.
• The difference between insurance covering and approving DME (durable medical equipment) and treatment. 
• The importance of continuing your education across all settings and staying up to date on any relevant policies and laws that might affect you as a practicing clinician. 
• Recognizing and taking responsibility for the power your words and recommendations have on your patients.

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 $101 off Medbridge Today!

Looking for more policy info? Check out our articles at www.amplifyot.com/articles 

CONNECT WITH COURTNEY:

• Instagram

CONNECT WITH AMPLIFY OT:

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Helpful Links

• Amplify OT: Making Discharge Plans with Confidence

© Amplify OT® and Clarice Grote

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 role to the patients in your care.
• Some of our favorite interventions and evaluation questions to ask during assessments. 
• How Alyssa got into case management and the biggest takeaways she took from her experience thus far. 
• The importance of documenting to influence the patient’s care down the line.
• Advice for other clinicians interested in learning more about discharge planning and building a relationship with their case management team.

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 $101 off Medbridge Today!

Looking for more policy info? Check out our articles at www.amplifyot.com/articles 

CONNECT WITH AMPLIFY OT:

• Website
• Free Newsletter
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CONNECT WITH ALYSSA:

• IG: @genuinely.ot

Helpful Links

• [Study] Higher Hospital Spending on Occupational Therapy is Associated with Lower Readmission Rates

© Amplify OT® and Clarice Grote

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 through examples to help you understand what billing looks like in different scenarios.
• The importance of knowing how your services are being paid for to better understand the policies around billing.

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 $101 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

Helpful Links

• Ep. 16: False Claims Act - It's More Than Billing for Services That Weren't Provided - The Amplify OT Podcast
• AOTA: Joint Guidelines for Therapy Co-Treatment Under Medicare
• Acute Inpatient PPS | CMS (DRG information)
• 11 Part B Billing Scenarios for PTs and OTs (Individual vs. Group Treatment) | CMS

© Amplify OT® and Clarice Grote