The Amplify OT Podcast

Clarice Grote, MS, OTR/L

Welcome to the Amplify OT Podcast. I’m Clarice Grote and I’m the host of the Amplify OT Podcast. I’m an occupational therapist by trade and a policy wonk by choice. The Amplify OT Podcast is where we break down healthcare policy and legislation to help you not only survive but thrive in this crazy US healthcare system. So, let's dive in! Learn more about Amplify OT at www.amplifyot.com read less
EducationEducation

Episodes

Ep 62: Financial Freedom for Occupational Therapists with Doug Vestal
Mar 25 2025
Ep 62: Financial Freedom for Occupational Therapists with Doug Vestal
Financial Freedom for Occupational Therapists with Doug VestalAs occupational therapists, our primary goal is to help and be in service of others. But to do that, we often undervalue our services, leaving us underpaid, undervalued, and on the road to burnout. Fortunately, it doesn’t have to be that way. Doug Vestal joins me on the podcast today to talk about all things financial freedom for occupational therapists. While he is not an OT himself, he has been a pivotal figure in the OT community, especially in advocating for financial literacy. Doug shares his expert knowledge today as we discuss how understanding policies, creating financial security, and managing a private pay practice can transform the way practitioners approach both their personal and professional lives. That’s why this week on The Amplify OT Podcast, I am talking about financial freedom for OTs!🚨 Overwhelmed by OT policy, billing, and Medicare rules?You’re not alone—and that’s why the Amplify OT Learning Platform exists. Designed by an OT for OTs and OTAs, this on-demand resource hub helps you finally understand the “why” behind the rules so you can advocate confidently, bill accurately, and stop second-guessing your documentation.✨ What you get:✔ Self-paced courses on Medicare, billing, and advocacy✔ Real-world examples and easy-to-digest lessons✔ CEU opportunities to boost your skills and confidence✔ Support from a community that gets itReady to take the guesswork out of OT policy? Join today and amplify your knowledge, your confidence, and your impact.👉 Click here to learn more and get started! In this episode, Doug and I cover:How Doug’s book, Financial Freedom for OTs, differs from traditional wealth-building resources.The importance of financial freedom in creating choices for your life.Insights into loan repayment programs and their influence on career choices. Understanding the business side of healthcare and how insurance impacts OT salaries. The significance of valuing your services and setting appropriate fees.How OTs can focus on meaningful occupations while building economically sustainable practices.Tune in for a conversation that challenges the conventional narrative around healthcare finances and offers practical solutions for building a thriving OT practice. Whether you're interested in private practice or simply looking to take control of your personal finances, this episode offers valuable insights for every OT professional.Amplify OT ResourcesWant 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 DOUG VESTAL:Freedom of Practice
Ep 61: 2025 Advocacy Updates: Navigating a New Congress, New Presidency, and New Initiatives
Mar 18 2025
Ep 61: 2025 Advocacy Updates: Navigating a New Congress, New Presidency, and New Initiatives
2025 Advocacy Updates: Navigating a New Congress, New Presidency, and New InitiativesThe start of 2025 has had a lot in store for us as we navigate a new congress, a new presidential administration, and all that is being proposed as a result of these individuals settling into their new positions. This week on The Amplify OT Podcast, I am helping you stay informed and navigate the whirlwind of changes and updates from the federal government. 🚨 Overwhelmed by OT policy, billing, and Medicare rules?You’re not alone—and that’s why the Amplify OT Learning Platform exists. Designed by an OT for OTs, this on-demand resource hub helps you finally understand the “why” behind the rules so you can advocate confidently, bill accurately, and stop second-guessing your documentation.✨ What you get:✔ Self-paced courses on Medicare, billing, and advocacy✔ Real-world examples and easy-to-digest lessons✔ CEU opportunities to boost your skills and confidence✔ Support from a community that gets itReady to take the guesswork out of OT policy? Join today and amplify your knowledge, your confidence, and your impact.👉 Click here to learn more and get started!In this episode, I cover:The effects of President Trump’s “anti-DEI” executive orders on occupational therapy and the broader healthcare system. RFK Jr. was officially appointed the Secretary of Health and Human Services (HHS), leaving people speculating on what this means for vaccinations. The broader implications that are surfacing as a result of Elon Musk being appointed head of the Department of Government Efficiency (DOGE).Additional policies in the works in Congress and what it means if they are to be passed. In the midst of the overwhelming amount of updates that came out of the first couple of months of 2025, my message to you is this: Pay attention, be involved, and become a member of AOTA. This is a fantastic way to advocate, even if you don’t have the bandwidth to do something specifically on your own. Amplify OT ResourcesWant 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! LINKS MENTIONED IN THIS EPISODE:AOTA Inspire Philadelphia, PA (Be sure to come visit me at booth #208!)AmplifyOT.com/shop 2nd Annual Amplify Therapy Summit July 30- August 2, 2025NPR Politics PodcastThe Daily Podcast by The New York Times What the Health Podcast
Ep 60: Healthcare Changes for 2025: End of Year Review
Dec 3 2024
Ep 60: Healthcare Changes for 2025: End of Year Review
Healthcare Changes for 2025: End of Year ReviewWith 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 ApplyAmplify OT ResourcesWant 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:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokLINKS MENTIONED IN THIS EPISODE:Sign up for the LIVE Webinar on...
Ep 59: Voting for Healthcare in the 2024 Election: Breaking Down Trump and Harris’ Policies
Oct 25 2024
Ep 59: Voting for Healthcare in the 2024 Election: Breaking Down Trump and Harris’ Policies
Voting for Healthcare in the 2024 ElectionThe 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 PlatformsKamala Harris’ PlatformDonald Trump’s Platform2024 GOP Platform2022 Election Demographics: Affordable Care ActACA Repeal - Graham-Cassidy BillKamala Harris Tweet/Video ReferencedDonald Trump Tweet Referenced Fact Check Graham-Cassidy Bill and Pre-existing Condition CoverageACA Subsidies2024 Marketplace SubsidiesState-Based insurance premiumsKFF Inflation Reduction Act Health Insurance Subsidies: What is Their Impact and What Would Happen if They Expire? Medicaid
Ep 58: PACE Programs: Patient-Centered Care in Action with Courtney Barr
Oct 8 2024
Ep 58: PACE Programs: Patient-Centered Care in Action with Courtney Barr
PACE Programs: Patient-Centered Care in Action with Courtney BarrWhile 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 MembershipAs 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 ApplyAmplify OT ResourcesWant 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:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokLINKS MENTIONED IN THIS EPISODE:National PACE AssociationMastering Medicare Episode 25: PACE Program Deep Dive ©Amplify OTMentioned in this episode:Join the Amplify OT MembershipAs 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.
Ep 57: Addressing Fraud And Upholding the Professional Integrity of OTs [Strengthening Occupational Therapy from Within]
Aug 27 2024
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]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 MembershipAs 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 ApplyAmplify OT ResourcesWant 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:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokLINKS MENTIONED IN THIS EPISODE:Ep 56:
Ep 56: Social Media's Impact on Our Professional Trust and Credibility [Strengthening Occupational Therapy from Within]
Aug 13 2024
Ep 56: Social Media's Impact on Our Professional Trust and Credibility [Strengthening Occupational Therapy from Within]
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 MembershipAs 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 ApplyIf you missed the Amplify Therapy Summit, you can catch the course replays by joining the Amplify OT Membership at amplifyot.com/membership Amplify OT ResourcesWant 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:WebsiteServicesFree NewsletterInstagramLinkedInFacebook
Ep 55: How the Overturn of the Chevron Deference Will Impact The Future of Healthcare with John Miller
Jul 9 2024
Ep 55: How the Overturn of the Chevron Deference Will Impact The Future of Healthcare with John Miller
How the Overturn of the Chevron Deference Will Impact The Future of Healthcarewith John MillerIf 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 MembershipAs 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 ApplyAmplify OT ResourcesWant 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:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokLINKS MENTIONED IN THIS EPISODE:Register to Vote!...
Ep 54: Stop Saying "No One Knows What Occupational Therapy Is"
Jun 4 2024
Ep 54: Stop Saying "No One Knows What Occupational Therapy Is"
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 ApplyAmplify OT ResourcesWant 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:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTok ©Amplify OTMentioned in this episode:Join the Amplify OT MembershipAs a exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time!...
Ep 53: Insurance and How It Impacts Our Plan of Care [Replay]
May 21 2024
Ep 53: Insurance and How It Impacts Our Plan of Care [Replay]
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 MembershipAs 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 ApplyAmplify OT ResourcesWant 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:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTok ©Amplify OTMentioned in this episode:Join the Amplify OT MembershipAs 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 Amplify OT Learning Platform
Ep 52: Skilled Nursing Facilities vs. Nursing Homes: What You Need to Know
May 7 2024
Ep 52: Skilled Nursing Facilities vs. Nursing Homes: What You Need to Know
Skilled Nursing Facilities vs. Nursing Homes: What You Need to KnowOften 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 MembershipAs 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 ApplyAmplify OT ResourcesWant 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:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokLINKS MENTIONED IN THIS EPISODE:CMS.gov State Operations Manual- Survey and Enforcement Process for Skilled Nursing Facilities and Nursing FacilitiesU.S. Bureau of Labor Statistics: Occupational Employment and Wage Statistics for SNFs (May 2023)
Ep 51: Decoding Medicare Advantage and Medicaid MCOs: Understanding the Coverage
Apr 23 2024
Ep 51: Decoding Medicare Advantage and Medicaid MCOs: Understanding the Coverage
Decoding Medicare Advantage and Medicaid MCOs: Understanding the CoverageYou 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 MembershipAs 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 ApplyAmplify OT ResourcesWant 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:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokLINKS MENTIONED IN THIS EPISODE:Ep 50: Volume-Based vs. Value-Based Reimbursement Models in OTCMS 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]...
Ep 50: Volume-Based vs. Value-Based Reimbursement Models in OT
Apr 9 2024
Ep 50: Volume-Based vs. Value-Based Reimbursement Models in OT
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 MembershipAs 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 ResourcesWant 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:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokDownload 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 OTMentioned in this episode:Join the Amplify OT...
Ep 49: Amplifying Impact: Clarice’s Journey from Clinician to OT Visionary
Mar 26 2024
Ep 49: Amplifying Impact: Clarice’s Journey from Clinician to OT Visionary
Amplifying Impact: Clarice’s Journey from Clinician to OT VisionaryI 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 MembershipAs 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 SummitAmplify OT ResourcesWant 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:WebsiteServicesFree NewsletterOT MerchInstagramLinkedInFacebookTikTokLINKS MENTIONED IN THIS EPISODE:Sign Up for the Amplify Therapy Summit ©Amplify OTMentioned in this episode:Join the Amplify OT MembershipAs 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 Amplify OT Learning Platform
Ep 48: Spring 2024 Amplify OT and Healthcare Advocacy Updates
Mar 19 2024
Ep 48: Spring 2024 Amplify OT and Healthcare Advocacy Updates
Spring 2024 Amplify OT and Healthcare Advocacy Updates2023 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 MembershipAs 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...
Ep 46: From Policy to Practice: Everything You Need to Know About Section GG
Feb 27 2024
Ep 46: From Policy to Practice: Everything You Need to Know About Section GG
From Policy to Practice: Everything You Need to Know About Section GGSection 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 MembershipAs 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 ResourcesWant 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:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokLINKS MENTIONED IN THIS EPISODE:Patient-Driven Payment Model (PDPM) in Skilled Nursing FacilitiesPatient-Driven Groupings Model (PDGM) in Home HealthAOT: Everything You Need to Know About Section GG*CMS links and training are included in the AOT article.  ©Amplify OTMentioned in this episode:Join the Amplify OT MembershipAs 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.
Ep 45: An Interview with AOTA’s Vice-President Candidates Natalie Chang Wright and Christina Reyes Smith [Election Series Part 3]
Feb 6 2024
Ep 45: An Interview with AOTA’s Vice-President Candidates Natalie Chang Wright and Christina Reyes Smith [Election Series Part 3]
Ep 45: An Interview with AOTA’s Vice-President Candidates Natalie Chang Wright and Christina Reyes Smith [Election Series Part 3]AOTA’s elections are upon us! That’s why this week on The Amplify OT Podcast, through a 3-part episode series, I am sitting down with the candidates running for President and Vice-President in the 2024 AOTA election. Through these conversations, it is my hope that we can all learn more about the people running for important leadership positions so we can make an informed choice.   View all interview videos at https://amplifyot.com/electionsAs a reminder, voting opens February 2, 2024 and close Feb 23, 2024 at 11:59 AM ET. Please remember that you must be an AOTA member as of January 2, 2024 in order to participate in voting and you must be a current member on the date that you vote.🗳️ Vote here: AOTA.org/electionsSample Ballot (members only)Disclaimer: I, myself, and Amplify OT as an entity are not endorsing any specific candidate. I am using my platform as a resource for these candidates to speak on. ⏩ Looking to skip ahead? Natalie Chang Wright’s interview begins at 04:04Christina Reyes Smith’s interview begins after the ad break at 31:26In each interview, the candidates are asked the following questions:Why are you running for Vice-President of AOTA and why now? What would be your "day one" priorities, if elected? In your opinion what is the primary role or mission of AOTA in our profession? Do you believe membership is important? Why or why not?The last AOTA workforce study showed that 25% of practitioners are considering leaving the field, and AOTA had a 7% drop in membership this year. Do you think these issues are related? And in your opinion, what would be the best way to address these issues?What advice would you give to someone who may be interested in volunteering or taking a leadership role?Why should someone vote for you? For more information and candidate bios, head over to https://amplifyot.com/electionsAmplify OT ResourcesWant 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:WebsiteWork With MeFree NewsletterInstagramLinkedIn
Ep 44: An Interview with AOTA’s Presidential Candidates Michael Pizzi and Vikram Pagpatan [Election Series Part 2]
Feb 6 2024
Ep 44: An Interview with AOTA’s Presidential Candidates Michael Pizzi and Vikram Pagpatan [Election Series Part 2]
An Interview with AOTA’s Presidential Candidates Michael Pizzi and Vikram Pagpatan [Election Series Part 2]AOTA’s elections are upon us! That’s why this week on The Amplify OT Podcast, through a 3-part episode series, I am sitting down with the candidates running for President and Vice-President in the 2024 AOTA election. Through these conversations, it is my hope that we can all learn more about the people running for important leadership positions so we can make an informed choice.   Listen/watch all interviews at https://amplifyot.com.com/electionsAs a reminder, voting opens February 2, 2024 and close Feb 23, 2024 at 11:59 AM ET. Please remember that you must be an AOTA member as of January 2, 2024 in order to participate in voting and you must be a current member on the date that you vote.🗳️ Vote here: AOTA.org/electionsSample Ballot (members only)Disclaimer: I, myself, and Amplify OT as an entity are not endorsing any specific candidate. I am using my platform as a resource for these candidates to speak on. ⏩ Looking to skip ahead? Michael A. Pizzi’s interview begins at 04:04Vikram Pagpatan’s interview begins after the ad break at 32:12In each interview, the candidates are asked the following questions:Why are you running for President of AOTA and why now? What would be your "day one" priorities, if elected? In your opinion what is the primary role or mission of AOTA in our profession? Do you believe membership is important? Why or why not?The last AOTA workforce study showed that 25% of practitioners are considering leaving the field, and AOTA had a 7% drop in membership this year. Do you think these issues are related? And in your opinion, what would be the best way to address these issues?What advice would you give to someone who may be interested in volunteering or taking a leadership role?Why should someone vote for you? For more information and candidate bios, head over to https://amplifyot.com/elections Amplify OT ResourcesWant 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:WebsiteServicesFree NewsletterInstagramLinkedIn
Ep 43: An Interview with AOTA’s Presidential Candidates Karen Sames & Arameh Avarizade [Election Series Part 1]
Feb 6 2024
Ep 43: An Interview with AOTA’s Presidential Candidates Karen Sames & Arameh Avarizade [Election Series Part 1]
An Interview with AOTA’s Presidential Candidates Karen Sames & Arameh Avarizade [Election Series Part 1]AOTA’s elections are upon us! That’s why this week on The Amplify OT Podcast, through a 3-part episode series, I am sitting down with the candidates running for President and Vice-President in the 2024 AOTA election. Through these conversations, it is my hope that we can all learn more about the people running for important leadership positions so we can make an informed choice.   Listen/watch all interviews at https://amplifyot.com.com/elections and read their bios.As a reminder, voting opens February 2, 2024 and close Feb 23, 2024 at 11:59 AM ET. Please remember that you must be an AOTA member as of January 2, 2024 in order to participate in voting and you must be a current member on the date that you vote.🗳️ Vote here: AOTA.org/electionsSample Ballot (members only)Disclaimer: I, myself, and Amplify OT as an entity are not endorsing any specific candidate. I am using my platform as a resource for these candidates to speak on. ⏩ Looking to skip ahead? Karen M. Sames interview begins at 04:04Dr. Arameh Anvarizadeh’s interview begins after the ad break at 29:55In each interview, the candidates are asked the following questions:Why are you running for President of AOTA and why now? What would be your "day one" priorities, if elected? In your opinion what is the primary role or mission of AOTA in our profession? Do you believe membership is important? Why or why not?The last AOTA workforce study showed that 25% of practitioners are considering leaving the field, and AOTA had a 7% drop in membership this year. Do you think these issues are related? And in your opinion, what would be the best way to address these issues?What advice would you give to someone who may be interested in volunteering or taking a leadership role?Why should someone vote for you? For more information and candidate bios, head over to https://amplifyot.com/electionsAmplify OT ResourcesWant 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:WebsiteServicesFree NewsletterInstagramLinkedIn