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  • 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
  • COTA Schools and Jobs

      As the number of schools increase that teach the OTA program, are the graduates able to find jobs? One source I follow says no, but others say they are finding job offers. The one common thread I am finding though is some COTAs are completing three or more interviews before landing a job.   I do see changes in Medicare happening, ...
    Posted to COTA Thoughts (Weblog) on June 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
  • prn COTA Work

      Working as a COTA in a prn status has its advantages, but it also has it disadvantages too. As much as the flexibility of setting your own schedule is nice, some days there is no need for extra help.   So working prn status you can set the hours and days you prefer to work. That is nice for times when you need a day off for a ...
    Posted to COTA Thoughts (Weblog) on April 6, 2013
  • Memorable Patients

      Just this week I had a patient who made my day. This person was very friendly, willing to participate addressing all of their goals, and had some great stories. It made the entire treatment pass so quickly I went way over the scheduled time.   But this got me thinking about patients I've worked with over the years, especially some ...
    Posted to COTA Thoughts (Weblog) on March 23, 2013
  • COTA Salaries

      Some time ago I wrote a blog about COTA salaries, and in it I mentioned that with the increased cost of schooling and decrease in salaries that soon we may see a shortage of people seeking to enter the field. Was that a bad prediction?   The cost of the two required years of OTA school can vary greatly. At the local community ...
    Posted to COTA Thoughts (Weblog) on February 26, 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
  • Patient Complaints

      Just the other day I treated a person with a diagnosis list as long as your arm. It's a shame to see someone with so many problems, especially someone as young as this person was. Getting up in years myself I know what it's like to always have the doctor find things you didn't know you had and that don't bother you, that is until they ...
    Posted to COTA Thoughts (Weblog) on February 9, 2013
  • I Can Do That

      How many times have you had a patient tell you that even though they can't perform a task in therapy, they will be able to do it when they get home? Of course the typical reply to this is how will you accomplish this at home if you can't do it here, but that usually gets no reply. ...
    Posted to COTA Thoughts (Weblog) on February 7, 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
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