Hey thanks for the question. This is a loaded question that I could make a whole video on. In short, there’s endless possibility’s. You can be so creative with so many different exercises from standing exercises and balance, supine stretches and core exercises on the floor or bed, focusing on endurance timed gait training while monitoring RPE, 02 SATs, HR, pain etc.. also we got CG education, car transfer training, safe negotiation in and out of home. Honestly, more then the clinic setting. I’ve worked in OP and SNF and a lot of time is spent on stationary bikes and modalities such as icing,. which all have there place, but man the home is where I can come up with great functional training without the clinic distractions.

How do you document that stuff to make it sound Medicare compliant?

Sound Medicare compliant? Not sure what you mean. If your following the PT established goals and focusing on functional training, strengthening to meet each patient specific needs and goals your compliant. Just document it. Just like you would in the hospital, SNF and OP settings.

@@jared6657 Yea but don’t they usually hate it when a therapist says “Gait with walker 100 feet CGA”. They say that doesn’t show skill.

Yep. Document your skill then

Lol that’s hilarious

Thank you man! Thanks for the comment

did you get in?

@@chanelsalas2012 They said the application deadline was March 15th and long story short we would know by June 15th is we were getting in. I can’t wait that long to find out. So, I have been looking at other apprenticeship options. Currently waiting on a Pipefitter Apprenticeship job @ $31/hr to start & $43+/hr after 4 years. And an Electrician Apprenticeship $20/hr to start $ $30+/hr after 4 years, but they also have a Construction Management Program for two years after, that I am interested in. It will allow me to reach Foreman, Site Management and Superintendent. I’ve been in construction along with maintaining my Massage License and worked in Industrial new construction electrical in the early 2000. They are willing to hire me as a Helper 3 which bumps my pay and less time in the apprenticeship. I rather do the electrical but we’ll see what becomes official.

@@chanelsalas2012We had our interviews, so that means we are being considered. We will know by the end of this month (June).

​@@stumpbumpers you got this

@@FreeMind-ps9pd I got into the program and start August 15th.

I just graduated. That’s why I’m asking.

Not a headache at all. I call or message the office/scheduler, who try’s to find a therapist who can cover. If no coverage available, it’s a missed visit

how many patients do you see in a day? doing PRN

​@femiadewale6828 yes I'm an SLP too and would like to know this info! Very smart way of working our field

I don't believe he does.

Most company’s provide a paid show up rate, which usually is .5 the visit rate. It’s normally called “non-visit pay”.

Sounds like the companies your dealing with are hiring 1099 independent contractors. That means you are your own business are your responsible for everything, also liability insurance if something goes wrong. Now you could just get a business license in the districts you want to work in. Don’t worry about where they might send you. You are the boss and you say where you will work. However, Id recommend picking up PRN work. This work is with a legit HH agency where you are the employee and they cover business licenses and liability. Your a W-2 employee and you wont get taxed so heavily. Plus your still in charge of your schedule since your PRN. Meaning you only work your availability. Does all this make sense?

@@jared6657 yes jared thank you so much for the input!

Hey!! so nowadays, any home health professional like: speech therapist, occupational therapist, physical therapist, and nurses can all do start of cares, research, discharges, valuations, reassessment visit, etc.… Before the pandemic hit, they had a lot of rules that only speech therapist and physical therapist were able to do it alongside the nurse. But now it seems like just about anybody can be involved in the whole beginning, middle, and end of someone’s home health experience. The main rule that they are still definitely applying, at least in the state of Virginia, Maryland, North Carolina, and Washington DC is that no assistant therapists are able to do those visits. A PTA, lpn, or COTA are only allowed to do follow up treatment visits that have been agreed-upon by their Overseeing clinician, pt, and their pcp.

Thanks! Yeah thankfully it doesn’t happen much. But those days I’ll have a group of 3-5 patients who are within 5-10 minute drives so that helps. Long days though. And a lot of documentation in the evening

@@JaredmkSee that right there is why the home health job is so stupid and wrong…you should not be doing all that documentation in the evening at home. You work all day and having to then go documenting that is absolutely ridiculous

I’d like to see this too! @Jared

Fantastic