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Competence and the Occupational Therapy Entrepreneur

Mary Foto

The American Journal of Occupational Therapy, 1998, Vol. 52(9), 765–769.

DOI: https://doi.org/10.5014/ajot.52.9.765

Published: 01 October 1998

Abstract

That which constitutes competence in an occupational therapy entrepreneur is not well delineated, even though the role of entrepreneur requires that such a person possess a particular set of knowledge and skills in order to be competent. The question of competence in an occupational therapy entrepreneur is increasingly important because the number of practitioners assuming this role has grown in recent times. Indeed, a connection exists between the competence of occupational therapy entrepreneurs and the future stature of the profession. Still, the issue remains: How will occupational therapy entrepreneurs be judged competent? Peer evaluation is one possibility, but the ultimate measure will be marketplace success.

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Journal Articles

The Merlin Factor: Creating Our Strategic Intent for the Future Today

Mary Foto

The American Journal of Occupational Therapy, 1998, Vol. 52(6), 399–402.

DOI: https://doi.org/10.5014/ajot.52.6.399

Published: 01 June 1998

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The Health Care Revolution: A Catalyst for Professional Evolution

Mary Foto

The American Journal of Occupational Therapy, 1998, Vol. 52(4), 247.

DOI: https://doi.org/10.5014/ajot.52.4.247

Published: 01 April 1998

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Journal Articles

Change, Commitment, and Ethics: Where Do We Stand?

Mary Foto

The American Journal of Occupational Therapy, 1998, Vol. 52(2), 87–89.

DOI: https://doi.org/10.5014/ajot.52.2.87

Published: 01 February 1998

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Presidential Address—Wilma West: A True Visionary

Mary Foto

The American Journal of Occupational Therapy, 1997, Vol. 51(8), 638–639.

DOI: https://doi.org/10.5014/ajot.51.8.638

Published: 01 September 1997

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The President’s View on Certification Renewal

Mary Foto

The American Journal of Occupational Therapy, 1997, Vol. 51(5), 326–327.

DOI: https://doi.org/10.5014/ajot.51.5.326

Published: 01 May 1997

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Journal Articles

Preparing Occupational Therapists for the Year 2000: The Impact of Managed Care on Education and Training

Mary Foto

The American Journal of Occupational Therapy, 1997, Vol. 51(2), 88–90.

DOI: https://doi.org/10.5014/ajot.51.2.88

Published: 01 February 1997

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Journal Articles

Generalist Versus Specialist Occupational Therapists

Mary Foto

The American Journal of Occupational Therapy, 1996, Vol. 50(10), 771–774.

DOI: https://doi.org/10.5014/ajot.50.10.771

Published: 01 November 1996

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Presidential Address—Trends, Tools, and Technology

Mary Foto

The American Journal of Occupational Therapy, 1996, Vol. 50(8), 619–625.

DOI: https://doi.org/10.5014/ajot.50.8.619

Published: 01 September 1996

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Delineating Skilled Versus Nonskilled Services: A Defining Point in Our Professional Evolution

Mary Foto

The American Journal of Occupational Therapy, 1996, Vol. 50(3), 168–170.

DOI: https://doi.org/10.5014/ajot.50.3.168

Published: 01 March 1996

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Outcome Studies: The What, Why, How, and When

Mary Foto

The American Journal of Occupational Therapy, 1996, Vol. 50(2), 87–88.

DOI: https://doi.org/10.5014/ajot.50.2.87

Published: 01 February 1996

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Multiskilling: Who, How, When, and Why?

Mary Foto

The American Journal of Occupational Therapy, 1996, Vol. 50(1), 7–9.

DOI: https://doi.org/10.5014/ajot.50.1.7

Published: 01 January 1996

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New President’s Address: The Future–Challenges, Choices, and Changes

Mary Foto

The American Journal of Occupational Therapy, 1995, Vol. 49(10), 955–959.

DOI: https://doi.org/10.5014/ajot.49.10.955

Published: 01 November 1995

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Journal Articles

A Medical Review Approach to Medicare Outpatient Documentation

Claudia Allen, Mary Foto, Terry Moon-Sperling, Dorothy Wilson

The American Journal of Occupational Therapy, 1989, Vol. 43(12), 793–800.

DOI: https://doi.org/10.5014/ajot.43.12.793

Published: 01 December 1989

Abstract

Blue Cross of California has recognized the problem of reimbursement delays due to Medicare claims that have been returned or denied. The information in this article applies to the medical review process and suggests an interpretation of the new Medicare outpatient guidelines used by the Blue Cross of California Medicare reviewers. As a solution to the problem of delayed reimbursement, medical reviewers—who are also practicing occupational therapists—offer an explanation of the Medicare review process and suggestions for correcting technical billing errors. Methods for keeping complete and timely medical records are discussed, with the suggestion that clinicians follow these methods from the start of care. A process for documentation is presented that will clearly prove to the medical reviewer the need for the special skills of an occupational therapist. This article also proposes reasons for noncoverage because of insufficient medical necessity. It is important to note, however, that variance between fiscal intermediaries’ interpretations and requirements exists nationwide. This article, therefore, represents only one fiscal intermediary’s approach to reviewing claims and medical records.

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Journal Articles