Medicaid and medicare

 Medicaid and medicare

1. How often should therapists check for changes in Medicare? Did this surprise you. Discuss whether or not you saw therapists checking for changes in Medicare while on fieldwork.


Occupational therapists of Medicare help clients to attain a healthy and satisfied state of life by devising interventions that prevents patients from injury and disability (Sieck et al., 2017). Efforts directed at promoting the health of the patients will prove to be beneficial only when professionals at Medicare conduct regular checks on a daily basis to identify the changes in the health care process. Physical therapists should conduct regular monitoring of the organizational environment to ensure excellent outpatient therapy and reducing the risk of spreading infectious diseases in the health care sector. The offices for practicing therapists must be well-maintained and tools that are integral to the promotion of health care. Well-maintained rehabilitation centers prove to fasten the rate of improvement of patients and limit the amount of therapy that patients are exposed to. 


2. What did the IMPACT Act require and what were the stipulations of the act?


The IMPACT Act (Improving Medical Post-Acute Care Transformation) represents the recent trends in Medicare with payment and assessment impacting therapy. The chief stipulations of the IMPACT act are:
It is mandatory for the CMS report to standardize patient assessment data regarding the use of resources, quality measures, diverse measures in therapy domains of SNFs and quality measures.
The act emphasized on the overall understanding of the condition of patients, related expenses and expected outcome to increase efficiency of exchange and interpret information between health care providers to coordinate care services and provide expected outcome.
The Act also stipulated an essential responsibility of every skilled therapy discipline while collecting primary reporting data by the utilizing G codes for Medicare Part B beneficiaries during a care process.
The IMPACT Act helps in a better understanding of the practical factors that regulates the activities of operational therapists and identifies the Medicare changes over a short period of time to represent the fast pace at which clinical practitioners stay abreast regarding changes in the policies and regulations. The Act was intended to improve outcome of patients undergoing medical treatment and coordinates care services provided by health care practitioners.


3. Are you surprised with the scarce amount of studies over the impact of Medicare regulations on therapy practice? Why do you think this is?


Despite of Medicare being primary to the therapeutic practices for the mental and physical well being of the population, there has been insignificant amount of study on Medicare regulations in Australia. While a particular branch of study conducted at SNF focuses only on the limitations of Medicare payment and largely restricts itself to the analysis of its impact on overall health outcomes. Another study was explores post-acute care settings and concludes the research by finding that without sufficient payment to afford full range of care in CVI or cerebral vascular incident, the therapists at Medicare failed to provide quality services to patients. 
I was surprised at the lack of substantial research that examines the various ways in which occupational therapy practitioners keep themselves informed about Medicare regulations in order to clinically apply their knowledge. There is an acute lack of evidence based research regarding the various implications of Medicare policy changes in the field of occupational therapy practice. Lack of discussion by occupational therapists leads to a restricted awareness regarding the sector and fails to identify the methods implemented by therapists to acknowledge the changes by improving their understanding as responsible practitioners.  


4. What were the major themes found in the result of the study?


The theme of the study identified the various methods employed by occupational therapists to interpret the changes in the Medicare policies. The result of the study reveals the following themes:
Adopting an approach to encourage therapists for regulation clarification to work through a sustained change of command will avoid the stress of the practitioners by keeping them informed
Heavily relying on the structured system of communication between the employees and the company will develop confidence in the credibility and availability of resources
Occupational therapists should participate in self-directed learning to comprehend the changes in the regulations of the Medicare practices and find affordable resources outside the company. 


5. Perform the critical appraisal of the article and write a brief statement of application to occupational therapy practice.  


The article creates awareness regarding the services provided by occupational therapists which happens to be a combination of client-centered practices and high demands for productivity and result oriented healthcare practices. The article emboldens therapists to adapt to changes in the policies of Medicare and motivates them to best care practices to feel empowered and provide the patients with best quality mental and physical treatment. The article identifies the ways in which Medical beneficiaries identify the effort put in by operational therapists and interprets the various changes associated with Medicare regulations that dictate the functions of the practitioners. The findings of the article have far reaching implications on the field of occupational therapy and provide a deeper understanding of healthcare practices. 

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Reference List:

Sieck, R., Lohman, H., Stupica, K., Minthorne-Brown, L., & Stoffer, K. (2017). Awareness of Medicare Regulation Changes: Occupational Therapists' Perceptions and Implications for Practice. Physical & Occupational Therapy In Geriatrics, 35(2), 67-80.

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