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COTA Thoughts

Home Health Assessments
March 7, 2014 9:49 AM by Tim Banish
One question that has always come up is if a COTA is allowed to do a home assessment. I'm not sure if all states have similar regulations, but in Ohio the language regarding this is pretty vague. The perception is that an OTR has to do the home assessment Read More...
Medical Insurance for Retirees
September 20, 2013 10:53 AM by Tim Banish
It looks like the Affordable Care Act (ACA) has developed another plus for our senior citizens. With the current changes in healthcare coverage coming with ACA some companies have changed the way they plan to fund retirement medical benefits. Several Read More...
Rural Therapy
September 8, 2013 8:48 AM by Tim Banish
I just returned from a trip out to the Midwest visiting family. They live in a small town with a population of around 4,000 people. Towns out there are miles apart, and the closest city for major shopping is almost an hour away. That got me thinking about Read More...
Things to Know About the Affordable Care Act
August 30, 2013 8:44 AM by Tim Banish
October 1st is the official sign up start for the Affordable Care Act (ACA), otherwise known as Obamacare. There are some things you will need to know before that time, especially if you purchase your own medical insurance. If you have medical insurance Read More...
Doctors Opting Out of Medicare
August 11, 2013 4:52 PM by Tim Banish
Hello Readers. Sorry I've been gone for a while. From now on I will be posting a new blog every Friday. More rules and smaller reimbursement rates lead to frustrated doctors who have begun to opt out of participation with Medicare. The number of doctors Read More...
Crafts and Activities in OT
June 7, 2013 10:06 AM by Tim Banish
Something that was really missed from my early days in OT is the use of crafts. My schooling included two semesters of Media, which entailed all forms of craft making related to specific diagnoses. These days with tight budgets there are very few craft Read More...
Healthcare Fraud and Abuse
May 31, 2013 9:40 AM by Tim Banish
News of fraud and abuse in our healthcare system appears frequently these days. Between scams, double billing and code jamming many dollars are illegally claimed from the system. Whether it be from Medicare, Medicaid or an insurance company, one thing Read More...
It's All About the (Money) Minutes
April 13, 2013 11:59 AM by Tim Banish
It was another day of treating low level patients for high minutes. This really makes me miss one of my old supervisors who stood his ground against management, allowing the therapy team to determine minutes. Completing nearly an hour of treatment with Read More...
Caseload Craziness
March 27, 2013 11:23 AM by Tim Banish
So at work this week one of my schedules had five patients on it. Four of these were in the facilities locked unit, meaning their major diagnosis was Alzheimer's or dementia. Three of the four refused to do any therapy without a lot of coaxing and encouragement. Read More...
Survey Time
March 21, 2013 7:54 PM by Tim Banish
How do things go in your LTC building when the state survey team walks in the door for their annual visit? I tend to find that projects get started, more staff is visible, and the pace picks up. Of course the home is aware of when the survey will happen, Read More...
Hygiene in the Clinic
March 5, 2013 7:08 PM by Tim Banish
At work today another staff member cautioned me to wash my hands often, as there seemed to be a bug in the building. Back in school I remember the importance that was stressed with proper hand washing techniques, before and after treatment with each patient, Read More...
Tight Spaces
February 16, 2013 1:36 PM by Tim Banish
How big is your rehab gym? Is it big enough to hold all the walkers, wheelchairs, parallel bars and other equipment needed in the gym? Are you able to comfortably seat 20% of the therapy caseload in the gym at the same time without having to jump over Read More...
Medicare Fraud Tackled
February 12, 2013 10:49 AM by Tim Banish
You might have seen this in the news, but the presidents federal Health Care Fraud and Abuse Program are hard at work uncovering scams in the system. In 2012 alone they were able to recover $4.2 billion from both companies and individuals who were trying Read More...
Equipment and Supplies
February 2, 2013 11:16 AM by Tim Banish
One grief I face daily is seeing the equipment at many long term care facilities. Most of it is in some state of disrepair all the way to barely useable. Supplies of basic items such as tissues, sanitizers and pens are usually minimal. Wheelchairs are Read More...
My CEO Makes How Much?
January 28, 2013 4:14 PM by Tim Banish
Just the other day I was talking with one of the nurses I work with, and we got into a discussion of wasted dollars in healthcare. One of the patients was upset because for three days in a row the lab nurse came to draw blood. Another patient was mad Read More...