Thanks to the efforts of the American Occupational Therapy Association, beginning in 2022 occupational and physical therapy assistant Medicare reimbursement will be cut by 15%. Oh, and they solved the cap problem for PT and speech therapy by doing so.
Per a CBO report from
February 6th, 1.2 billion of the 6.45 billion cost to repeal the
therapy cap would be offset by the reimbursement changes.
Let's get the background here. Therapy caps have been in place for many years, and for nearly every year there has been an exceptions process that worked around the cap. This was a bigger problem for PT and speech, who because of a misplaced comma (so the mythology goes), had to share one cap while OT had its own cap.
The exceptions process worked to solve this problem for many years. Several members of the OT community tore this issue apart and discussed it ad nauseum on the OT Connections site to help educate students and members about Medicare reimbursements. None of that convers…
A fairly standard component of my pediatric occupational therapy
evaluations is to ask the child to draw a picture of themselves. This
assessment technique provides an opportunity to evaluate the child's
skill with writing and also is a functional assessment of their
cognitive and perceptual ability.
Sometimes kids draw things that
just beg to be probed and questioned - as was the case recently. I watched
intently as 6 year old Patrick drew a representation of himself,
but then he began adding odd details to his picture. First he colored
dark spots on his figure's hands and feet, and then added a row of X's
across the forehead.
I leaned forward and quizzically asked, "Patrick, what are these marks here?"
looked at me for a moment and then responded: "Jesus died for you, you
know. He got nailed to a cross, in his hands and his feet. My Dad said
that he had to wear prickers on his head and it made him bleed."
According to the 'ACOTE Entry-Level Task Force Report to ACOTE in December, 2014 (p. 381-393), some stakeholders appear to be 'more equal' than others.
The notion of being 'more equal' is a reference to Animal Farm and the pigs who ran the farm. They famously stated that "All animals are equal, but some animals are more equal than others." In simple terms, the ruling elites of Animal Farm made claims that everyone is equal, but then we discovered that they provided benefits and power and privileges only to their elite comrades.
What privileges are handed out by AOTA/ACOTE? The answer can be found starting on page 381.
AOTA/ACOTE overtly places stakeholders onto different 'lists.' These are not categories or labels of my design - these are the actual lists of AOTA/ACOTE:
The 'A' List:
Educational Program Directors
Academic Fieldwork Coordinators
OT/OTA Clinicians a…