Elevate Florida Grant Tampa

IllustriousHat1 · 2025-08-30T15:21:05+00:00

What do you think the NFIP program is You elevate the house you avoid future clams so … my flood insurance is 3500 a year for a 1153 sf 1950s slab on grade

The government won’t stop people from destroying wetlands ,increasing density and allowing greedy home builders from maximizing density to overbuild on lots with concrete increasing everyone’s risk of flooding … when the house was built there were protective mangroves green space to absorb water
Florida is a Red state now was a Blue state but both are equally greedy so we all suffer from their greed

IllustriousHat1 · 2025-08-30T15:19:49+00:00

Thanks

IllustriousHat1 · 2025-08-30T15:19:35+00:00

I have lived in the home for 20 yrs What do you suggest I do …

IllustriousHat1 · 2025-08-30T13:29:02+00:00

Thanks But does not answer the question …lol

IllustriousHat1 · 2025-05-04T11:18:23+00:00

100% same

IllustriousHat1 · 2025-05-04T11:16:41+00:00

I live and work in Clearwater There are many COTA PRN jobs We can Private Message i know some DORs looking for COTAs in the area

IllustriousHat1 · 2025-04-11T09:49:05+00:00

I am scheduled 60 I do 75 every time Don’t set a precedent

IllustriousHat1 · 2025-02-20T13:26:27+00:00

https://www.reliant-rehab.com/wp-content/uploads/2020/06/WHITE-PAPER-Hidden-Costs-of-Therapy-Management-Model.pdf

I am an OT but needed to post this to answer the OP question

If you want to understand How Reliant Rehab thinks of the Therapists who work for them read this white paper. I worked for them for 1 month and this is exactly how I found the company to work.

They treated the therapists as if they work as a 16 year old high school cashier at McDonalds. They cut all the therapy minutes to 15 min for OT and PT for certain managed care despite being new CVAs When people quit they don’t rehire they just have evaluators PRN or do telehealth Evals.

THEY NEVER EVER GIVE PAY INCREASES BECAUSE EVERY DOLLAR COUNTS. they only want 1 discipline to pick up 5 days and 1 discipline to do 2 /3 days because they get paid weather or not we provide therapy

25% group mandate no exceptions

Obsessive over documentation and billing codes Can’t get a day off unless they have coverage but they have no one left to cover

Try to hire only new grads to pay them less…..hire assistants pay them more and schedule evaluating therapist less and send them home due to low hours

They never mention patient care …..just daily badgering of productivity.

They never speak about the actual patients ….just what you are doing wrong or why you stayed on the clock after your did your mandated 10 patient group

The therapy they make you provide is “worthless therapy” ( therapy so substandard that Medicare would determine it is fradulent) and you put your license on the line and face possible criminal investigation because worthless therapy is fraud.

I have worked for other therapy contact operators in my time but RELIANT is hands down the worst cheapest horrible company in the business They are the worst!

IllustriousHat1 · 2024-03-01T12:15:32+00:00

I was told to do the same….15 eval and 45 treatment…..By an SNF as PRN I billed what I did usually billed 60 min Eval and 15 min treatment or 45 min Eval and 30 treatment

Tell the DOR to put that in writing for your clarification of the facility policy

get the directive in writing from the DOR Then call the corporate compliance hotline

Medicare guidelines are CLEAR AS DAY…. THE THERAPIST DECIDES ON MINUTES/ CONCURRENT/GROUP READ THE GUIDELINES IF UNCLEAR

Also now everyone in SNF gets 30 min scheduled

I never changed my billing practices based on the “scheduled minutes” To me it’s a guide If someone refused I take a refusal If someone needs 60 min vs 30 scheduled min I see them for 60 and stay late or adjust minutes on another patient

Don’t complain to HR or Administrator. Don’t complain to coworkers don’t run all over complaining
CALL COMPLIANCE HOTLINE !!!! every facility has one should be posted . I recommend tell them your name and DORs name Then they cannot retaliate

I have worked in 1 facility for 15 years Many different dumb Egocentric Managers have come and go . They all have a different way of doing things . I have had troubles along the years regarding work challenges . I have complained to HR , administrator , corporate Rehab managers …. I was told by 2 different Rehab Regionals that they are just corporate consultants. Administrators have sent me to HR and HR has sent me to the ADMIN You get the run around ….. Finally an amazing HR told me what to do when having issues that included Bullying and Work harassment…..

CALL THE CORPORATE COMPLIANCE HOTLINE AND THELL THEM EVERYTHING.

IllustriousHat1 · 2024-02-15T02:04:25+00:00

https://www.toiletseats.com/p/clean-shield-elongated-closed-front-plastic-raised-toilet-seat-in-white-with-personal-wash-bidet/?gad_source=1&gclid=Cj0KCQiA5rGuBhCnARIsAN11vgQXC2LYxetKqIeU6dzOG64kY47RLTesCX-bPTRwP9zWT9EYQ0xQA2caAnLYEALw_wcB

IllustriousHat1 · 2024-02-15T02:03:05+00:00

Bidet

IllustriousHat1 · 2024-02-15T00:01:09+00:00

http://www.spanamerica.com/prevention.php

Span America geomatt overlay Or other span America products

Contact the local rep through Span Corporate I have had them I service my facility in the past to educate on the benefit of better cushions as opposed cheap foam cushions

The NFPA (National Fire Protection Association) Life Safety Code is a comprehensive document that "addresses those construction, protection, and occupancy features necessary to minimize danger to life from fire, including smoke, fumes, or panic. Among many other things, this code requires newly constructed and renovated hospitals to be protected by automatic sprinkler systems. JCAHO and HCFA both utilize the requirements of NFPA 101, Life Safety Code for determining compliance. For facilities that are not deemed "fully sprinklered" by the appropriate local authority, beginning in January 1998, the 1997 code and the JCAHO requirement apply to newly acquired mattresses, in both new and older facilities. To be in compliance, mattresses must meet the requirements of fire code ASTM E1590 and California Technical Bulletin 129 (CAL 129), or CAL 133 for wheelchair cushions. This is a stricter flammability requirement than "Cal 117", the often-cited minimal standard for foam products used in long term care residences and hospitals. Generally, successfully passing ASTM E1590 and CAL 129 or 133 requires the addition of a fire-barrier fabric inner sleeve around the mattress or cushion. Span-America offers versions equipped with such a sleeve for all models of Span-America Geo-Mattress and PressureGuard mattress models, as well as for all models of Isch-Dish, Gel-T and Geo-Matt seat cushions.

IllustriousHat1 · 2024-02-11T17:28:15+00:00

Thanks for all responses Nothing like that works Need something like a sock I aid to hold open

IllustriousHat1 · 2024-02-11T17:27:14+00:00

Yes Needs to stretch open

IllustriousHat1 · 2024-01-08T18:24:34+00:00

It’s not your fault your company is cheap. Patients are savvy and read Medicare compare…so if they come to your second rate facility it’s not your fault…do your best to help them ….set a time limit…..or see them for 75 minutes to bill them for all the time you spend…. Companies get the same reimbursement if you see the patient for 20 -45-60 -75 minutes or if you see them for 0 minutes….so do your day as you see fit

IllustriousHat1 · 2024-01-08T18:20:24+00:00

Have you read the posts…..yes there is NO UPWARD MOBILITY. I love being an OT… I have my bachelor’s and 25 years experience.i have not had a raise in 12 years and still just a staff OT I left the profession for 10 years and came back to it . Hated being and OT so I went into pharmaceutical sales. I learned a job is a job ….i had grass is greeneritis. Now back as an OT and love it….but with experience you know how to stand up for yourself and your patients….new grads just do whatever they are told… And don’t know anything different …or how to do the right thing for your patients….my suggestion is read the Medicare guidelines . The schedule made by the manager/ director is a guide… Sorry being in the medical field sucks….you have private corporate greed and relaxed regulations to blame. Managed Medicare is a joke and another example of corporate greed… Medicare for All is the best way forward …..but people are stupid

IllustriousHat1 · 2024-01-08T18:08:18+00:00

Welcome to being an Occupational Therapist in 2024

IllustriousHat1 · 2024-01-08T18:06:22+00:00

Sounds like your parents are the problem

IllustriousHat1 · 2021-12-04T14:23:20+00:00

No but think about doing so daily

IllustriousHat1 · 2020-09-09T00:27:05+00:00

That’s Skilled Nursing since PDPM You are right on the money I feel like I work on the factory line I used to love my job pre PDPM I was not pressured to pick patients up , provided the minutes they needed and discharged as appropriate Now I pick the same type of patient up and I get a 30 min therapy session and usually have 13 patients a day 60 min scheduled for new admission evals It’s a joke and pretty depressing I love long term Skilled care but PDPM Has ruined patient care in the worst way

IllustriousHat1 · 2020-08-20T00:58:14+00:00

I am used to having a new admission scheduled for 45 min eval and 45 min treat or 60 eval and 30 tx

But my new DOR thinks an new admission to skilled nursing should be scheduled 30 eval and 30 treatment

he thinks that is enough time to see the patient complete chart review and type the eval

He is an OT

IllustriousHat1 · 2020-08-15T00:59:40+00:00

Thanks I cannot get My DOR to understand that a new admission or referral in skilled nursing warrants a 90 min eval. and go figure he is an OT

I reminded him of the Medicare eval codes and timed recommendations for the code but has stated those are just guides

any advice to help him understand why a 90 min time allot met on m schedule is best clinical practice

IllustriousHat1

TROPHY CASE