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How to Plan a Great OT Session: OT CEU Course with Rachel Egan

OT Potential

43m 37s7,677 words~39 min read
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[0:00]Planning a 60-minute session that keeps a client engaged, satisfies complex billing requirements, and most importantly, gets results that make the client want to come back is the core skill of a therapy professional. Yet most of us are never actually taught how to walk this tight rope. Instead, we're left to figure it out on the fly while balancing high volume caseloads, heavy administrative demands, and a mountain of evidence to decipher. It is time to move from surviving your schedule to designing it. Today we are sitting down with Rachel Egan, OTRL, CHT, COMT. Rachel is a master clinician and rehab manager. Together we will discuss one, how do we bridge the gap between high-level evidence and the daily reality of billing codes. Two, what does the ideal arc of a 60-minute therapy session actually look like, and three, what specific templates can help us structure sessions that are both clinically transformative and operationally sound. Okay, it is time to learn how to design a great 60-minute session, so let's dive in. Welcome to the OT Potential Podcast. I'm your host, Sarah Lion, OTRL, and I wanted to let you know that this podcast may qualify as continuing education for you. You are probably listening to this podcast on a free podcast platform, but to gain CEU credit, you will need to be a member of the OT Potential Club, our OT continuing education platform. You can go to otpotential.com to learn more. Okay, here we go. As I mentioned at the top, joining us today is Rachel Egan. Rachel is a graduate from the Occupational Therapy program at NYU, and her background in studio arts continues to inspire her creative approach to rehabilitation. Specializing in the upper extremity, Rachel is a certified hand therapist, as well as a certified orthopedic manual therapist. In addition to caring for patients, Rachel is honored to support her peers in an operational leadership role at Nova Care, where she is responsible for 13 clinics across the Minnesota Metro area. So without further ado, we will patch Rachel into our live studio. Welcome, Rachel. It's so great to have you here today. It's so good to be here, Sarah. Thank you for having me. I have just already had the biggest revelation from prepping for this conversation. For years as I've been interviewing people, I've just been really curious about the arc of a good therapy session because in the time I get to interview these master clinicians, I've just learned that they approach their sessions with an intentionality that I never had as a novice clinician. Usually there's like breath work or manual therapy or something at the beginning and they take the patient through this arc and it ends in a satisfying way. And to be completely honest with you, Rachel, like I always struggled with that.

[3:16]I was a clinician who I don't want to say I would panic. I would sometimes wrap my sessions early because I did not have the full plan. 60 minutes is a long time if you do not have a really good plan. Um, so this is really I guess open my eyes to like this is a difference between a novice clinician and a master clinician, and it is a skill that we don't talk about enough, we're really not taught enough about it in school. I think we'll talk about some reasons why during the webinar today. So I could keep talking, but there's so much that we are going to get to today, but I want to start just with a little bit of your story. Uh, you are a returning guest, so I'm going to ask you a slightly harder opening question, which is tell me about some of the key milestones from the not like entering as a novice clinician to getting where you're at now as a master practicing clinician. Absolutely. I I've had the fortune of working in outpatient rehab for almost 15 years, um that'll be 15 years next year. And I think really the biggest turning point for me was, um, when I, when I transitioned from kind of a focus on memorization and protocol and fitting patients into my textbook boxes, right? Being able to identify like, oh, you're a lateral epicondylitis or you're a carpal tunnel, um, and really looking at the patient in front of me, being able to take that clinical reasoning and apply it to the patient that I I have the privilege of serving. Um, and so that really, I think it shaped, uh, and and really just was a turning point for me to understand why the protocols had the exercises in it, and not just check the box of, well, this is on the protocol, so I do it. I understood what the patient needed and could cater the protocol to their needs by understanding what their goals were and how I could support their goals, whether that's through breaking bad habits, which is what I tell my patients I do the most of. Um, uh, or, uh, whether that is more of getting them, you know, a new skill or returning to a skill based on whatever, uh, injury or or life journey, right, brought them to me. And so, I think, I think that's really for me how I determine with the staff that I mentor as well, when do you get to that point of, okay, I I understand the anatomy, I understand the why behind the protocols, how to impact the tissue. Now, how do I make that meaningful to the patient who's just in front of me and when it becomes individualized in a really meaningful way, I think that sets you apart. I've started to use the language in my head that like so many of us understand the what of therapy, even as a new grad, you come in out knowing like the basic best practices, like we should do high intensity task specific practice for this. Like you kind of know the core best practices, but the how of how that's done, of personalizing it and, uh, making that into a meaningful 60-minute session, kind of feels like where the gap is. And I think about that all the time where I tend to teach people best practices, but I don't get to go deep enough to be like this is what that looks like in a full 60-minute arc. Um, so I'm so excited to spend time just focused on that today. You are also a rehab manager, so you get to, uh, see different clinics, see how they're functioning, must understand the basic business operations of clinics. Um, so I also know one of your passions is talking, um, about billing codes and, um, how important it is for us to understand them. I do want to say that just in our live webinar alone we have people from Asia from Central Asia and Singapore and around the world, so everyone's going to have their own like billing codes that they have to understand. But what have you learned about that and how is your like understanding of, um, diversity of billing codes evolved over time? Were you ever like me at the beginning? I absolutely was there. Um, you're absolutely correct, this is one of my soap boxes and so I I really feel strongly that, um, whatever vehicle you're using, whether that's a CPT code, um, which I actually learned for this talk is is it stands for current procedural terminology. And so I looked through there, uh, but it those codes are how we value what we do.

[8:05]And so they determine how we get paid for the services that, um, that we do every single day that we're in patient care. And so, uh, as I get to introduce people into my company, I get to express how important that professional responsibility is in terms of understanding those definitions so that way we can capture our expertise in an ethical, um, and accurate way. I think of units per visit, uh, for a session almost like a report card for the session, right? This is your, your grade, right? How, what did you get done for your patient? Um, and it's something you should be proud of. Uh, and so I think, I think that's really for me how I determine with the staff that I mentor as well, when do you get to that point of, okay, I, I understand the anatomy, I understand the why behind the protocols, how to impact the tissue. Now, how do I make that meaningful to the patient who's just in front of me and when it becomes individualized in a really meaningful way, I think that sets you apart.

[9:18]I've started to use the language in my head that like so many of us understand the what of therapy, even as a new grad, you come in out knowing like the basic best practices, like we should do high intensity task specific practice for this. Like you kind of know the core best practices, but the how of how that's done, of personalizing it and, uh, making that into a meaningful 60-minute session, kind of feels like where the gap is. And I think about that all the time where I tend to teach people best practices, but I don't get to go deep enough to be like this is what that looks like in a full 60-minute arc. Um, so I'm so excited to spend time just focused on that today. You are also a rehab manager, so you get to, uh, see different clinics, see how they're functioning, must understand the basic business operations of clinics. Um, so I also know one of your passions is talking, um, about billing codes and, um, how important it is for us to understand them. I do want to say that just in our live webinar alone we have people from Asia from Central Asia and Singapore and around the world, so everyone's going to have their own like billing codes that they have to understand. But what have you learned about that and how is your like understanding of, um, diversity of billing codes evolved over time? Were you ever like me at the beginning? I absolutely was there. Um, you're absolutely correct, this is one of my soap boxes and so I I really feel strongly that, um, whatever vehicle you're using, whether that's a CPT code, um, which I actually learned for this talk is is it stands for current procedural terminology. And so I looked through there, uh, but it those codes are how we value what we do.

[11:05]And so they determine how we get paid for the services that, um, that we do every single day that we're in patient care. And so, uh, as I get to introduce people into my company, I get to express how important that professional responsibility is in terms of understanding those definitions so that way we can capture our expertise in an ethical, um, and accurate way. I think of units per visit, uh, for a session almost like a report card for the session, right? This is your, your grade, right? How, what did you get done for your patient? Um, and it's something you should be proud of. Uh, and so I think, I think that's really for me how I determine with the staff that I mentor as well, when do you get to that point of, okay, I, I understand the anatomy, I understand the why behind the protocols, how to impact the tissue. Now, how do I make that meaningful to the patient who's just in front of me and when it becomes individualized in a really meaningful way, I think that sets you apart.

[12:11]I've started to use the language in my head that like so many of us understand the what of therapy, even as a new grad, you come in out knowing like the basic best practices, like we should do high intensity task specific practice for this. Like you kind of know the core best practices, but the how of how that's done, of personalizing it and, uh, making that into a meaningful 60-minute session, kind of feels like where the gap is. And I think about that all the time where I tend to teach people best practices, but I don't get to go deep enough to be like this is what that looks like in a full 60-minute arc. Um, so I'm so excited to spend time just focused on that today. You are also a rehab manager, so you get to, uh, see different clinics, see how they're functioning, must understand the basic business operations of clinics. Um, so I also know one of your passions is talking, um, about billing codes and, um, how important it is for us to understand them. I do want to say that just in our live webinar alone we have people from Asia from Central Asia and Singapore and around the world, so everyone's going to have their own like billing codes that they have to understand. But what have you learned about that and how is your like understanding of, um, diversity of billing codes evolved over time? Were you ever like me at the beginning? I absolutely was there. Um, you're absolutely correct, this is one of my soap boxes and so I I really feel strongly that, um, whatever vehicle you're using, whether that's a CPT code, um, which I actually learned for this talk is is it stands for current procedural terminology. And so I looked through there, uh, but it those codes are how we value what we do.

[13:58]And so they determine how we get paid for the services that, um, that we do every single day that we're in patient care. And so, uh, as I get to introduce people into my company, I get to express how important that professional responsibility is in terms of understanding those definitions so that way we can capture our expertise in an ethical, um, and accurate way. I think of units per visit, uh, for a session almost like a report card for the session, right? This is your, your grade, right? How, what did you get done for your patient? Um, and it's something you should be proud of. Uh, and so I think, I think that's really for me how I determine with the staff that I mentor as well, when do you get to that point of, okay, I, I understand the anatomy, I understand the why behind the protocols, how to impact the tissue. Now, how do I make that meaningful to the patient who's just in front of me and when it becomes individualized in a really meaningful way, I think that sets you apart.

[15:03]I've started to use the language in my head that like so many of us understand the what of therapy, even as a new grad, you come in out knowing like the basic best practices, like we should do high intensity task specific practice for this. Like you kind of know the core best practices, but the how of how that's done, of personalizing it and, uh, making that into a meaningful 60-minute session, kind of feels like where the gap is. And I think about that all the time where I tend to teach people best practices, but I don't get to go deep enough to be like this is what that looks like in a full 60-minute arc. Um, so I'm so excited to spend time just focused on that today. You are also a rehab manager, so you get to, uh, see different clinics, see how they're functioning, must understand the basic business operations of clinics. Um, so I also know one of your passions is talking, um, about billing codes and, um, how important it is for us to understand them. I do want to say that just in our live webinar alone we have people from Asia from Central Asia and Singapore and around the world, so everyone's going to have their own like billing codes that they have to understand. But what have you learned about that and how is your like understanding of, um, diversity of billing codes evolved over time? Were you ever like me at the beginning? I absolutely was there. Um, you're absolutely correct, this is one of my soap boxes and so I I really feel strongly that, um, whatever vehicle you're using, whether that's a CPT code, um, which I actually learned for this talk is is it stands for current procedural terminology. And so I looked through there, uh, but it those codes are how we value what we do.

[16:48]And so they determine how we get paid for the services that, um, that we do every single day that we're in patient care. And so, uh, as I get to introduce people into my company, I get to express how important that professional responsibility is in terms of understanding those definitions so that way we can capture our expertise in an ethical, um, and accurate way. I think of units per visit, uh, for a session almost like a report card for the session, right? This is your, your grade, right? How, what did you get done for your patient? Um, and it's something you should be proud of. Uh, and so I think, I think that's really for me how I determine with the staff that I mentor as well, when do you get to that point of, okay, I, I understand the anatomy, I understand the why behind the protocols, how to impact the tissue. Now, how do I make that meaningful to the patient who's just in front of me and when it becomes individualized in a really meaningful way, I think that sets you apart.

[17:55]I've started to use the language in my head that like so many of us understand the what of therapy, even as a new grad, you come in out knowing like the basic best practices, like we should do high intensity task specific practice for this. Like you kind of know the core best practices, but the how of how that's done, of personalizing it and, uh, making that into a meaningful 60-minute session, kind of feels like where the gap is. And I think about that all the time where I tend to teach people best practices, but I don't get to go deep enough to be like this is what that looks like in a full 60-minute arc. Um, so I'm so excited to spend time just focused on that today. You are also a rehab manager, so you get to, uh, see different clinics, see how they're functioning, must understand the basic business operations of clinics. Um, so I also know one of your passions is talking, um, about billing codes and, um, how important it is for us to understand them. I do want to say that just in our live webinar alone we have people from Asia from Central Asia and Singapore and around the world, so everyone's going to have their own like billing codes that they have to understand. But what have you learned about that and how is your like understanding of, um, diversity of billing codes evolved over time? Were you ever like me at the beginning? I absolutely was there. Um, you're absolutely correct, this is one of my soap boxes and so I I really feel strongly that, um, whatever vehicle you're using, whether that's a CPT code, um, which I actually learned for this talk is is it stands for current procedural terminology. And so I looked through there, uh, but it those codes are how we value what we do.

[19:41]And so they determine how we get paid for the services that, um, that we do every single day that we're in patient care. And so, uh, as I get to introduce people into my company, I get to express how important that professional responsibility is in terms of understanding those definitions so that way we can capture our expertise in an ethical, um, and accurate way. I think of units per visit, uh, for a session almost like a report card for the session, right? This is your, your grade, right? How, what did you get done for your patient? Um, and it's something you should be proud of. Uh, and so I think, I think that's really for me how I determine with the staff that I mentor as well, when do you get to that point of, okay, I, I understand the anatomy, I understand the why behind the protocols, how to impact the tissue. Now, how do I make that meaningful to the patient who's just in front of me and when it becomes individualized in a really meaningful way, I think that sets you apart.

[20:41]I've started to use the language in my head that like so many of us understand the what of therapy, even as a new grad, you come in out knowing like the basic best practices, like we should do high intensity task specific practice for this. Like you kind of know the core best practices, but the how of how that's done, of personalizing it and, uh, making that into a meaningful 60-minute session, kind of feels like where the gap is. And I think about that all the time where I tend to teach people best practices, but I don't get to go deep enough to be like this is what that looks like in a full 60-minute arc. Um, so I'm so excited to spend time just focused on that today. You are also a rehab manager, so you get to, uh, see different clinics, see how they're functioning, must understand the basic business operations of clinics. Um, so I also know one of your passions is talking, um, about billing codes and, um, how important it is for us to understand them. I do want to say that just in our live webinar alone we have people from Asia from Central Asia and Singapore and around the world, so everyone's going to have their own like billing codes that they have to understand. But what have you learned about that and how is your like understanding of, um, diversity of billing codes evolved over time? Were you ever like me at the beginning? I absolutely was there. Um, you're absolutely correct, this is one of my soap boxes and so I I really feel strongly that, um, whatever vehicle you're using, whether that's a CPT code, um, which I actually learned for this talk is is it stands for current procedural terminology. And so I looked through there, uh, but it those codes are how we value what we do.

[22:29]And so they determine how we get paid for the services that, um, that we do every single day that we're in patient care. And so, uh, as I get to introduce people into my company, I get to express how important that professional responsibility is in terms of understanding those definitions so that way we can capture our expertise in an ethical, um, and accurate way. I think of units per visit, uh, for a session almost like a report card for the session, right? This is your, your grade, right? How, what did you get done for your patient? Um, and it's something you should be proud of. Uh, and so I think, I think that's really for me how I determine with the staff that I mentor as well, when do you get to that point of, okay, I, I understand the anatomy, I understand the why behind the protocols, how to impact the tissue. Now, how do I make that meaningful to the patient who's just in front of me and when it becomes individualized in a really meaningful way, I think that sets you apart.

[23:31]I've started to use the language in my head that like so many of us understand the what of therapy, even as a new grad, you come in out knowing like the basic best practices, like we should do high intensity task specific practice for this. Like you kind of know the core best practices, but the how of how that's done, of personalizing it and, uh, making that into a meaningful 60-minute session, kind of feels like where the gap is. And I think about that all the time where I tend to teach people best practices, but I don't get to go deep enough to be like this is what that looks like in a full 60-minute arc. Um, so I'm so excited to spend time just focused on that today. You are also a rehab manager, so you get to, uh, see different clinics, see how they're functioning, must understand the basic business operations of clinics. Um, so I also know one of your passions is talking, um, about billing codes and, um, how important it is for us to understand them. I do want to say that just in our live webinar alone we have people from Asia from Central Asia and Singapore and around the world, so everyone's going to have their own like billing codes that they have to understand. But what have you learned about that and how is your like understanding of, um, diversity of billing codes evolved over time? Were you ever like me at the beginning? I absolutely was there. Um, you're absolutely correct, this is one of my soap boxes and so I I really feel strongly that, um, whatever vehicle you're using, whether that's a CPT code, um, which I actually learned for this talk is is it stands for current procedural terminology. And so I looked through there, uh, but it those codes are how we value what we do.

[25:18]And so they determine how we get paid for the services that, um, that we do every single day that we're in patient care. And so, uh, as I get to introduce people into my company, I get to express how important that professional responsibility is in terms of understanding those definitions so that way we can capture our expertise in an ethical, um, and accurate way. I think of units per visit, uh, for a session almost like a report card for the session, right? This is your, your grade, right? How, what did you get done for your patient? Um, and it's something you should be proud of. Uh, and so I think, I think that's really for me how I determine with the staff that I mentor as well, when do you get to that point of, okay, I, I understand the anatomy, I understand the why behind the protocols, how to impact the tissue. Now, how do I make that meaningful to the patient who's just in front of me and when it becomes individualized in a really meaningful way, I think that sets you apart.

[26:20]I've started to use the language in my head that like so many of us understand the what of therapy, even as a new grad, you come in out knowing like the basic best practices, like we should do high intensity task specific practice for this. Like you kind of know the core best practices, but the how of how that's done, of personalizing it and, uh, making that into a meaningful 60-minute session, kind of feels like where the gap is. And I think about that all the time where I tend to teach people best practices, but I don't get to go deep enough to be like this is what that looks like in a full 60-minute arc. Um, so I'm so excited to spend time just focused on that today. You are also a rehab manager, so you get to, uh, see different clinics, see how they're functioning, must understand the basic business operations of clinics. Um, so I also know one of your passions is talking, um, about billing codes and, um, how important it is for us to understand them. I do want to say that just in our live webinar alone we have people from Asia from Central Asia and Singapore and around the world, so everyone's going to have their own like billing codes that they have to understand. But what have you learned about that and how is your like understanding of, um, diversity of billing codes evolved over time? Were you ever like me at the beginning? I absolutely was there. Um, you're absolutely correct, this is one of my soap boxes and so I I really feel strongly that, um, whatever vehicle you're using, whether that's a CPT code, um, which I actually learned for this talk is is it stands for current procedural terminology. And so I looked through there, uh, but it those codes are how we value what we do.

[28:07]And so they determine how we get paid for the services that, um, that we do every single day that we're in patient care. And so, uh, as I get to introduce people into my company, I get to express how important that professional responsibility is in terms of understanding those definitions so that way we can capture our expertise in an ethical, um, and accurate way. I think of units per visit, uh, for a session almost like a report card for the session, right? This is your, your grade, right? How, what did you get done for your patient? Um, and it's something you should be proud of. Uh, and so I think, I think that's really for me how I determine with the staff that I mentor as well, when do you get to that point of, okay, I, I understand the anatomy, I understand the why behind the protocols, how to impact the tissue. Now, how do I make that meaningful to the patient who's just in front of me and when it becomes individualized in a really meaningful way, I think that sets you apart.

[29:12]I've started to use the language in my head that like so many of us understand the what of therapy, even as a new grad, you come in out knowing like the basic best practices, like we should do high intensity task specific practice for this. Like you kind of know the core best practices, but the how of how that's done, of personalizing it and, uh, making that into a meaningful 60-minute session, kind of feels like where the gap is. And I think about that all the time where I tend to teach people best practices, but I don't get to go deep enough to be like this is what that looks like in a full 60-minute arc. Um, so I'm so excited to spend time just focused on that today. You are also a rehab manager, so you get to, uh, see different clinics, see how they're functioning, must understand the basic business operations of clinics. Um, so I also know one of your passions is talking, um, about billing codes and, um, how important it is for us to understand them. I do want to say that just in our live webinar alone we have people from Asia from Central Asia and Singapore and around the world, so everyone's going to have their own like billing codes that they have to understand. But what have you learned about that and how is your like understanding of, um, diversity of billing codes evolved over time? Were you ever like me at the beginning? I absolutely was there. Um, you're absolutely correct, this is one of my soap boxes and so I I really feel strongly that, um, whatever vehicle you're using, whether that's a CPT code, um, which I actually learned for this talk is is it stands for current procedural terminology. And so I looked through there, uh, but it those codes are how we value what we do.

[30:59]And so they determine how we get paid for the services that, um, that we do every single day that we're in patient care. And so, uh, as I get to introduce people into my company, I get to express how important that professional responsibility is in terms of understanding those definitions so that way we can capture our expertise in an ethical, um, and accurate way. I think of units per visit, uh, for a session almost like a report card for the session, right? This is your, your grade, right? How, what did you get done for your patient? Um, and it's something you should be proud of. Uh, and so I think, I think that's really for me how I determine with the staff that I mentor as well, when do you get to that point of, okay, I, I understand the anatomy, I understand the why behind the protocols, how to impact the tissue. Now, how do I make that meaningful to the patient who's just in front of me and when it becomes individualized in a really meaningful way, I think that sets you apart.

[32:04]I've started to use the language in my head that like so many of us understand the what of therapy, even as a new grad, you come in out knowing like the basic best practices, like we should do high intensity task specific practice for this. Like you kind of know the core best practices, but the how of how that's done, of personalizing it and, uh, making that into a meaningful 60-minute session, kind of feels like where the gap is. And I think about that all the time where I tend to teach people best practices, but I don't get to go deep enough to be like this is what that looks like in a full 60-minute arc. Um, so I'm so excited to spend time just focused on that today. You are also a rehab manager, so you get to, uh, see different clinics, see how they're functioning, must understand the basic business operations of clinics. Um, so I also know one of your passions is talking, um, about billing codes and, um, how important it is for us to understand them. I do want to say that just in our live webinar alone we have people from Asia from Central Asia and Singapore and around the world, so everyone's going to have their own like billing codes that they have to understand. But what have you learned about that and how is your like understanding of, um, diversity of billing codes evolved over time? Were you ever like me at the beginning? I absolutely was there. Um, you're absolutely correct, this is one of my soap boxes and so I I really feel strongly that, um, whatever vehicle you're using, whether that's a CPT code, um, which I actually learned for this talk is is it stands for current procedural terminology. And so I looked through there, uh, but it those codes are how we value what we do.

[33:51]And so they determine how we get paid for the services that, um, that we do every single day that we're in patient care. And so, uh, as I get to introduce people into my company, I get to express how important that professional responsibility is in terms of understanding those definitions so that way we can capture our expertise in an ethical, um, and accurate way. I think of units per visit, uh, for a session almost like a report card for the session, right? This is your, your grade, right? How, what did you get done for your patient? Um, and it's something you should be proud of. Uh, and so I think, I think that's really for me how I determine with the staff that I mentor as well, when do you get to that point of, okay, I, I understand the anatomy, I understand the why behind the protocols, how to impact the tissue. Now, how do I make that meaningful to the patient who's just in front of me and when it becomes individualized in a really meaningful way, I think that sets you apart.

[34:52]I've started to use the language in my head that like so many of us understand the what of therapy, even as a new grad, you come in out knowing like the basic best practices, like we should do high intensity task specific practice for this. Like you kind of know the core best practices, but the how of how that's done, of personalizing it and, uh, making that into a meaningful 60-minute session, kind of feels like where the gap is. And I think about that all the time where I tend to teach people best practices, but I don't get to go deep enough to be like this is what that looks like in a full 60-minute arc. Um, so I'm so excited to spend time just focused on that today. You are also a rehab manager, so you get to, uh, see different clinics, see how they're functioning, must understand the basic business operations of clinics. Um, so I also know one of your passions is talking, um, about billing codes and, um, how important it is for us to understand them. I do want to say that just in our live webinar alone we have people from Asia from Central Asia and Singapore and around the world, so everyone's going to have their own like billing codes that they have to understand. But what have you learned about that and how is your like understanding of, um, diversity of billing codes evolved over time? Were you ever like me at the beginning? I absolutely was there. Um, you're absolutely correct, this is one of my soap boxes and so I I really feel strongly that, um, whatever vehicle you're using, whether that's a CPT code, um, which I actually learned for this talk is is it stands for current procedural terminology. And so I looked through there, uh, but it those codes are how we value what we do.

[36:39]And so they determine how we get paid for the services that, um, that we do every single day that we're in patient care. And so, uh, as I get to introduce people into my company, I get to express how important that professional responsibility is in terms of understanding those definitions so that way we can capture our expertise in an ethical, um, and accurate way. I think of units per visit, uh, for a session almost like a report card for the session, right? This is your, your grade, right? How, what did you get done for your patient? Um, and it's something you should be proud of. Uh, and so I think, I think that's really for me how I determine with the staff that I mentor as well, when do you get to that point of, okay, I, I understand the anatomy, I understand the why behind the protocols, how to impact the tissue. Now, how do I make that meaningful to the patient who's just in front of me and when it becomes individualized in a really meaningful way, I think that sets you apart.

[37:40]I've started to use the language in my head that like so many of us understand the what of therapy, even as a new grad, you come in out knowing like the basic best practices, like we should do high intensity task specific practice for this. Like you kind of know the core best practices, but the how of how that's done, of personalizing it and, uh, making that into a meaningful 60-minute session, kind of feels like where the gap is. And I think about that all the time where I tend to teach people best practices, but I don't get to go deep enough to be like this is what that looks like in a full 60-minute arc. Um, so I'm so excited to spend time just focused on that today. You are also a rehab manager, so you get to, uh, see different clinics, see how they're functioning, must understand the basic business operations of clinics. Um, so I also know one of your passions is talking, um, about billing codes and, um, how important it is for us to understand them. I do want to say that just in our live webinar alone we have people from Asia from Central Asia and Singapore and around the world, so everyone's going to have their own like billing codes that they have to understand. But what have you learned about that and how is your like understanding of, um, diversity of billing codes evolved over time? Were you ever like me at the beginning? I absolutely was there. Um, you're absolutely correct, this is one of my soap boxes and so I I really feel strongly that, um, whatever vehicle you're using, whether that's a CPT code, um, which I actually learned for this talk is is it stands for current procedural terminology. And so I looked through there, uh, but it those codes are how we value what we do.

[39:27]And so they determine how we get paid for the services that, um, that we do every single day that we're in patient care. And so, uh, as I get to introduce people into my company, I get to express how important that professional responsibility is in terms of understanding those definitions so that way we can capture our expertise in an ethical, um, and accurate way. I think of units per visit, uh, for a session almost like a report card for the session, right? This is your, your grade, right? How, what did you get done for your patient? Um, and it's something you should be proud of. Uh, and so I think, I think that's really for me how I determine with the staff that I mentor as well, when do you get to that point of, okay, I, I understand the anatomy, I understand the why behind the protocols, how to impact the tissue. Now, how do I make that meaningful to the patient who's just in front of me and when it becomes individualized in a really meaningful way, I think that sets you apart.

[40:28]I've started to use the language in my head that like so many of us understand the what of therapy, even as a new grad, you come in out knowing like the basic best practices, like we should do high intensity task specific practice for this. Like you kind of know the core best practices, but the how of how that's done, of personalizing it and, uh, making that into a meaningful 60-minute session, kind of feels like where the gap is. And I think about that all the time where I tend to teach people best practices, but I don't get to go deep enough to be like this is what that looks like in a full 60-minute arc. Um, so I'm so excited to spend time just focused on that today. You are also a rehab manager, so you get to, uh, see different clinics, see how they're functioning, must understand the basic business operations of clinics. Um, so I also know one of your passions is talking, um, about billing codes and, um, how important it is for us to understand them. I do want to say that just in our live webinar alone we have people from Asia from Central Asia and Singapore and around the world, so everyone's going to have their own like billing codes that they have to understand. But what have you learned about that and how is your like understanding of, um, diversity of billing codes evolved over time? Were you ever like me at the beginning? I absolutely was there. Um, you're absolutely correct, this is one of my soap boxes and so I I really feel strongly that, um, whatever vehicle you're using, whether that's a CPT code, um, which I actually learned for this talk is is it stands for current procedural terminology. And so I looked through there, uh, but it those codes are how we value what we do.

[42:15]And so they determine how we get paid for the services that, um, that we do every single day that we're in patient care. And so, uh, as I get to introduce people into my company, I get to express how important that professional responsibility is in terms of understanding those definitions so that way we can capture our expertise in an ethical, um, and accurate way. I think of units per visit, uh, for a session almost like a report card for the session, right? This is your, your grade, right? How, what did you get done for your patient? Um, and it's something you should be proud of. Uh, and so I think, I think that's really for me how I determine with the staff that I mentor as well, when do you get to that point of, okay, I, I understand the anatomy, I understand the why behind the protocols, how to impact the tissue. Now, how do I make that meaningful to the patient who's just in front of me and when it becomes individualized in a really meaningful way, I think that sets you apart.

[43:15]I've started to use the language in my head that like so many of us understand the what of therapy, even as a new grad, you come in out knowing like the basic best practices, like we should do high intensity task specific practice for this.

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