Components: Lecture
Credit Hours: 2
This is a two-part course that examines the role of occupational therapist in effective utilization of financial resources and clinical services. The first part focuses on the financial aspects
related to the patient intervention process. Students examine the concepts of reimbursement for services, progressing from a historical overview of the third party payer system toward a detailed examination of the specific requirements of: Medicare, Medicaid, Commercial insurers, Workers Compensation. The reimbursement decisions will be studied in the context of environments (home, SNF, facility-based for inpatient and outpatient) and the legal and ethical issues associated with each environment. Current information from AOTA website, and commercial carrier websites, in addition to articles from scholarly journals, will provide background for discussions about ethical implications of financial choices. The second part of the course focuses on outcomes. These outcomes include: Client satisfaction management, Clinical outcomes: quality of life and resource utilization, Evaluating applicability of outcome measures for various populations and conditions. Students will discuss a variety of ethical dilemmas rising from the effect of outcomes in patient care management
