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Long Term Care OT

Last post 08-01-2010, 1:49 PM by LTC-OT. 4 replies.
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  •  07-08-2010, 10:36 PM

    Long Term Care OT

    I am an OT working in LTC and have many questions about rules and regulations for this setting. I have worked in LTC for 3 years and have run into the same issues in therapy companies, management, etc. If there is anyone who has LTC experience or Medicare experience (rules and guidelines for LTC)  I would love to talk to you about my situation and how to deal with it so as not to "burn out".
  •  07-13-2010, 4:39 PM

    Re: Long Term Care OT

    I am a COTA but have worked in LTC for 13 years so I may be able to answer some of your questions.  You can either ask on here or give me and email address to write back to you at.
  •  07-15-2010, 10:19 PM

    Re: Long Term Care OT

    You can reach me at pearlamber@gmail.com. My main questions have to do with our new company that has taken over where I am working. I know a little about Part B's however, the new company wants us to treat our Part B's 5 days a week for 68 or 83 minutes. To me that's unethical, given the reason they are Part B's. My work history seems to be showered with issues like this. Let me know what you think. Thanks so much.

     Amber

  •  07-25-2010, 1:37 PM

    Re: Long Term Care OT

    Greetings

    In reference to the your question and issues about your company's purpose in setting 5x/w/k and all those minutes is outright unethical and illegal. I am pretty sure the majority of these patients have been institutionalized and their potential for improvement is pretty low. I worked for a company that prior to the end of the year, would create a list with all the part B patients and how much money the patients have left in their part B "piggy bank". I was labeled a bad therapist since I did not go around putting people on program left and right. They also had part B specialists, their only purpose was to go from facility to facility placing every/any patient with a pulse regardless of their potential; needless is to say I no longer work for them. Believe me I had many clashes with program managers that have forgotten the responsibilities we have as clinicians and the ethical rules we have to follow, I guess bonuses are pretty good or they buy corporate "BS". However this is our fault since the consensus seems to follow blindly and just nod our heads yes to whatever new spins management puts on a Medicare loopholes. It is up to you...I have resigned 4x in the last 2 years since all the companies are cut by the same "lets make as much money as we can while we can" cookie cutter. Eventually I will run out of options ...I hope not.. But at least I will be able to look my self in the mirror every morning and respect the person I see.  Trust your instinct if it feels wrong....it is. Eventually Medicare will audit these patients using people with a brain rather that morons. In the end these companies will place the blame on therapists since it is US and our SIGNATURES in those evals and progress notes.                
  •  08-01-2010, 1:49 PM

    Re: Long Term Care OT

    I totally agree with you. The sad fact is that when that does come to pass and Medicare begins denying those claims someone will have to pay. What you have then is a whole lot of people hating therapy and therapists working in nursing homes because we look like money hungry idiots thinking that we can make grandma with dementia "better" with her Part B money.  Ugh! It can be so frustrating! Thanks for your input.