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  • Medical Insurance for Retirees

    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 large corporations have decided to drop private purchasing of retirement health benefits and ...
    Posted to COTA Thoughts (Weblog) on September 20, 2013
  • Rural Therapy

    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 my first job as a COTA, driving around rural Missouri providing therapy in small hospitals, ...
    Posted to COTA Thoughts (Weblog) on September 8, 2013
  • Things to Know About the Affordable Care Act

    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 provided through your workplace, not much will affect you immediately. However future ...
    Posted to COTA Thoughts (Weblog) on August 30, 2013
  • Doctors Opting Out of Medicare

    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 deciding to not participate has tripled in the last three years. At the same time, some ...
    Posted to COTA Thoughts (Weblog) on August 11, 2013
  • Healthcare Fraud and Abuse

      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 is certain, the honest consumers pay for it.   Just recently the Medicare Fraud ...
    Posted to COTA Thoughts (Weblog) on May 31, 2013
  • Caseload Craziness

      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. Spending the time to talk them into doing any therapy wasted so much time ...
    Posted to COTA Thoughts (Weblog) on March 27, 2013
  • Medicare Fraud Tackled

      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 to cheat the system. This was the highest three year total recovered since the ...
    Posted to COTA Thoughts (Weblog) on February 12, 2013
  • Equipment and Supplies

      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 one of the items I see daily that need repair. Worn seat covers, torn ...
    Posted to COTA Thoughts (Weblog) on February 2, 2013
  • My CEO Makes How Much?

      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 because they were being sent out to the hospital for a routine procedure that could have ...
    Posted to COTA Thoughts (Weblog) on January 28, 2013
  • Ethics VS Productivity

      As I've always said, productivity standards can jeopardize our ethical obligation. Trying to maintain productivity on a consistent basis is a tough task, especially with most employers requiring 85% or better. However, faced with the threat of losing your job can easily tempt us to alter the minutes we ...
    Posted to COTA Thoughts (Weblog) on January 22, 2013
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