Even  though  I occassionally 'bash' AOTA, I don't think that they let
Medicare  exclude  OT from opening home health. Honestly, I don't know
exactly when the exclusion took place, nor do I know any details about
what  AOTA  did  or didn't do, but I doubt that they just let Medicare
dictate  the  rules without any input. Perhaps Chuck W. can provide us
with some accurate history!!!!

Ron

----- Original Message -----
From: Bill Maloney <[EMAIL PROTECTED]>
Sent: Thursday, May 11, 2006
To:   [email protected] <[email protected]>
Subj: [OTlist] Two thoughts


BM> First:
   
BM>   Gina Tate wrote: 

BM> 1. they dropped the ball when they let medicare exclude OT
BM> (the only   therapy  and most functional in homes) as a qualifying
BM> skilled coverage for home  health
BM>   This has been one of the most frustrating things for me as
BM> a home health OT in terms of gaining a little more professional
BM> clout in a nursing and PT dominated area of practice.  It has even
BM> affected my ability to advance to management level with a few
BM> agencies.  I would have to agree with Gina wholeheartedly that our
BM> national association should be in the forefront and front lines of
BM> any relevant legislative issues that directly impact our practice,
BM> and that with stronger lobbying efforts could advance our
BM> practice!  As I stated in a previous post, a major reason I
BM> re-joined AOTA is so that I can complain.
   
BM>   Second:
   
BM>   Angela Jones shared a story of an OT who allegedly refused
BM> to address a patient's hemiplegia.  The patient was subsequently
BM> "treated" by an employee of unknown credentials at the YMCA (could
BM> have been a PT, or athletic trainer but doubtful at a YMCA) who
BM> was willing to address the patient's concerns.  Well, shame on us!
BM> This is a very disturbing story on many levels.  Maybe I'm old
BM> school (i.e. NDT minded), but I personally can't imagine treating
BM> a CVA without addressing the affected side.  Since this story is
BM> somewhat out of context and I certainly don't have all the facts,
BM> I'll stop there.  But I think a little grassroots "policing" or
BM> mentoring could prevent this scenario from reproducing.
   
BM>   Sorry I've been a little dormant for a few weeks, Ron. 
BM> Work has been taxing and not enough time to go around.  I'll try
BM> to stay better connected.
   
BM>   Bill Maloney
   


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