Anastasia Laird: The Stress of Insurances in Health Care
Anastasia Laird
Level II Fieldwork Student
Susque-View Home Nursing and Rehabilitation Center
The Stress of Insurances in Health Care
Most of us went into this profession because we like taking care of others and want to help every individual that comes our way. Unfortunately, working in a health care environment is not so much about the "caring", but rather about making money. Today, the word "health care" is interchangeable with the word "business". Everyone knows that to have a successful business, you have to make a profit. Insurance plays a huge role in the health care system. I remember briefly going over insurance policies, G-Codes, ICD code and CPTs codes but what I learned int he classroom does not compare to the real world. Unfortunately, we didn't discuss rules or different types of minutes each insurance has, which is very crucial when working in health care.
During my first day of Level II Fieldwork, we discussed insurance rules and different types of minutes. I most likely looked like a deer in headlights because I only knew one answer throughout the discussion. As a health major, we know the basics about insurance, for example; one you turn 26 years old, you are no longer on your parent's health insurance. Medicare and Medicaid cover individuals who are 65 years of age and older, individuals who are disabled, poor, etc. I knew that Medicare is split up into Part A through D, but I had no idea that I can only treat residents who are under Medicare Part A. As a Level II Fieldwork student, I can treat residents who are under Medicare Part B but only under direct supervision of my supervisor. Not only does it have to be direct supervision, my supervisor has to tell me exactly what activities to do with my residents. I also didn't know that residents under Humana Insurance have to be seen the first day or else the facility does not get reimbursed. Also, I didn't know that insurance rules and the minutes differ from one health care facility to another. Every day I am learning and getting a better understanding of the rules and minutes, however, there is always more to learn as I become a COTA/L.
One thing I cant ell you for sure is don't be scared about insurance rules and the minutes. It may seem like a lot at one point, but it will get easier over time. Also, you have great supervisors who will teach and prepare you for the future. If you have any questions, don't be afraid to ask, they have all been in our position. Another thing to remember about insurance is to try to manage your time and stay productive because they are both very crucial in a health care profession. Time management can affect your productivity which can affect your chances of getting a raise.
During my first day of Level II Fieldwork, we discussed insurance rules and different types of minutes. I most likely looked like a deer in headlights because I only knew one answer throughout the discussion. As a health major, we know the basics about insurance, for example; one you turn 26 years old, you are no longer on your parent's health insurance. Medicare and Medicaid cover individuals who are 65 years of age and older, individuals who are disabled, poor, etc. I knew that Medicare is split up into Part A through D, but I had no idea that I can only treat residents who are under Medicare Part A. As a Level II Fieldwork student, I can treat residents who are under Medicare Part B but only under direct supervision of my supervisor. Not only does it have to be direct supervision, my supervisor has to tell me exactly what activities to do with my residents. I also didn't know that residents under Humana Insurance have to be seen the first day or else the facility does not get reimbursed. Also, I didn't know that insurance rules and the minutes differ from one health care facility to another. Every day I am learning and getting a better understanding of the rules and minutes, however, there is always more to learn as I become a COTA/L.
One thing I cant ell you for sure is don't be scared about insurance rules and the minutes. It may seem like a lot at one point, but it will get easier over time. Also, you have great supervisors who will teach and prepare you for the future. If you have any questions, don't be afraid to ask, they have all been in our position. Another thing to remember about insurance is to try to manage your time and stay productive because they are both very crucial in a health care profession. Time management can affect your productivity which can affect your chances of getting a raise.
Meet Anastasia Laird
Anastasia Laird is from South Williamsport. She worked at Williamsport hospital as a patient care assistant and previously worked in dietary as a hostess for three and a half years. She is currently a student at Pennsylvania College of Technology and is studying to become an occupational therapy assistant. She has completed her first Level II rotation of fieldwork at Susque-View Home Nursing and Rehabilitation Center. She will graduate this month with an associates degree.
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