Is It Friday Yet?
A question every worker asks sometimes as early as Wednesday, maybe earlier depending on how the week has gone. Even in my last few years working as a COTA, only working part time, I asked that question more than a few times.
Were you aware that in the past Medicare recognized holidays and week-ends? Therapy was a Monday to Friday thing, the only time weekend therapy was done was to make up a missed treatment for a patient who requested it. Holidays were just written off, no treatments were made up nor any therapy done.
Of course then along came the numbers game. It is all about profits and saving a few dollars in hopes of moving a person out of skilled care a few days earlier. However it seems like every provider tries to maximize the dollars they can pull out of Medicare and will push to use all a patient's 100 skilled days up.
I can't tell you how many times I've seen a patient show enough independence to return home only to have the supervisor increase goals because the patient has several more skilled days of Part A to use. The sad part of this is what happens if there is another need for therapy in the near future? The patient is then responsible for any therapies provided, and as you know that isn't cheap.
So my thoughts here? Friday can now be any day of the week, depending on a therapists work schedule. Holidays, weekends, and birthdays are all the same now, just another day on the calendar. So when your Friday comes around, enjoy it. When you end up in Long Term Care there will be no more, the only day you'll want to see is that 100th.
Until next time, hope all your "Thoughts" are Good-