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.

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In this episode I cover:

• When you should be cautious of “new” Medicare rules. 
• How asking to see the policy can help clarify if the concern you’re dealing with is a Medicare rule or a facility rule disguised under Medicare. 
• My thoughts on why the facility we address in the listener’s question may have said there is a limit on the number of minutes of care under Medicare. 
• How you as the practitioner can be prepared to advocate for yourself and your patients.

Thanks for listening! If you found this episode helpful, don’t forget to follow, rate and review the show. To learn more about Amplify OT head to https://amplifyot.com/ 

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 

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LINKS MENTIONED IN THIS EPISODE:

• Patient-Driven Payment Model (PDPM) in Skilled Nursing Facilities 
• How Understanding PDPM in Skilled Nursing Facilities Can Make You a Better Clinician

© Amplify OT® and Clarice Grote

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!

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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:

• When you will use the 8-minute rule
• What the 8-minute rule means and how you can apply it in billing.
• Timed codes vs. untimed codes.
• Where you might get tripped up in billing and why it can sometimes be referred to as the 15-minute rule.
• How you can use your time wisely and ensure you are getting paid for the care, you are providing.

Billing is such a complex situation, so it is important for you to always go to the source and seek out accurate information.

Thanks for listening! If you found this episode helpful, don’t forget to follow, rate and review the show. To learn more about Amplify OT, head to https://amplifyot.com/

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:

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© Amplify OT® and Clarice Grote

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 course. 
• The additional knowledge Crystal gained through doing her capstone with Amplify OT that she wouldn’t have gotten elsewhere. 
• Myths around policy and engaging in advocacy that Crystal once believed were proven untrue during her capstone work. 
• What’s next for Crystal in her career as an OT. 

Thanks for listening! If you found this episode helpful, don’t forget to follow, rate, and review the show. To learn more about Amplify OT, head to https://amplifyot.com/ 

Need CEUs? Save 40% off on your Medbridge subscription by using code “AmplifyOT” at checkout or by visiting https://www.medbridgeeducation.com/amplify-ot. Medbridge has great CEUs on the OASIS and Medicare Reimbursement. 

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:

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© Amplify OT® and Clarice Grote

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 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/.

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:

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© Amplify OT® and Clarice Grote

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 understand the differences.
• Observation vs. interview and examples of when it makes a difference.
• Everything you need to know about the upcoming Value-Based Purchasing program.

Thanks for listening! If you found this episode helpful, don’t forget to follow, rate, and review the show.

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:

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Amplify OT: Can OTs do the OASIS?

FREE OASIS D Scoring Guidance Manual 

OASIS E Guidance Manual

Home Health Value-Based Purchasing (HH VBP) Resources

© Amplify OT® and Clarice Grote

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.

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:

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© Amplify OT® and Clarice Grote

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.

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:

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© Amplify OT® and Clarice Grote

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.

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:

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© Amplify OT® and Clarice Grote

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.

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:

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© Amplify OT® and Clarice Grote

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!

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

© Amplify OT® and Clarice Grote