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COTA Thoughts

Productivity and Pay
July 4, 2014 11:09 AM by Tim Banish
For those who work in Long Term Care (LTC) we've all been troubled at one time or another with that nasty word productivity. I still can't believe it's expected to maintain such high numbers when the job entails dealing with people and all the things Read More...
The Revolving Door
June 23, 2014 9:34 AM by Tim Banish
One thing I used to see working Long Term Care therapy was the repeat offenders, or the Part B patients that seemed to need therapy every few months. Some would have a hospital stay which placed them back to Part A, or skilled status patient. But it seemed Read More...
Are They OK at Home?
May 30, 2014 10:58 AM by Tim Banish
If you work in Long Term Care (LTC) you've probably had patients that talk about nothing but going home. There are some who fulfill that desire, some who don't. Then there are the ones who you really think shouldn't go home alone but with help they should Read More...
Stay Healthy
April 25, 2014 3:31 PM by Tim Banish
A big trend these days is Wellness Prevention. Many health insurers are looking at ways to keep their clients healthy in hopes of spending less on doctor and hospital bills. The Affordable Care Act has a part in this, as employers are seeking ways to Read More...
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...
What’s Our Job?
November 8, 2013 8:35 AM by Tim Banish
As a COTA, I've always thought my job was to get people better so they can resume their life. Whatever they need that I, as an OT, can offer to help them achieve that goal is what I want them to have. Of course with geriatric rehab, most of the patients' Read More...
The Future of COTAs
October 18, 2013 1:56 PM by Tim Banish
Healthcare reform, the economic recession, reduced insurance reimbursements, Medicare and Medicaid cutbacks -- how will this affect the future of the COTA? Some people are quite nervous right now, thinking that Obamacare will eliminate the COTA position. 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...
Continuing Education in the Old Days
August 23, 2013 5:47 PM by Tim Banish
So are you one of the ones that hates having to attend yet another long and boring continuing education class? Over my years as a COTA I attended many classes to get Continuing Education Credits (CEUs). Yes some are boring, and repetitious, but it's all 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...
Are Long-Term Care Providers Passing the Buck?
July 15, 2013 4:35 PM by Tim Banish
When a person comes to a long term care facility for rehab they are often unaware of what to expect. Everything is different for them, but the staff is there doing their job every day. Staff is trained on their job duties, but a trend I noted before retiring Read More...
I Miss…
June 25, 2013 4:38 PM by Tim Banish
The one good thing I can say about retirement is the hours are great. I can show up any time I want without getting into trouble! However, I really miss working with people. Every day as a COTA was something new, a new patient, a big gain with a patient, Read More...
COTA Salaries and Hours
June 19, 2013 1:59 PM by Tim Banish
I see many COTAs who enter the profession for the salary. Some may not know what they are getting into; others have done their research and are aware of what the job entails. I definitely know that I was not fully aware of some of the things I would do Read More...
The Other Side
June 14, 2013 3:47 PM by Tim Banish
Working for so many years as a therapist I always knew my side of the bed. You always wonder about many of your patients though, how did they get here, what have they been through, what do they think and expect being on the other side, in the bed? Over Read More...