{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:30:06Z","timestamp":1786692606308,"version":"build-2736575974"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>Occupational therapy practitioners are uniquely qualified and positioned to offer both preventive and rehabilitative models of care. However, the status quo of current reimbursement models has created a barrier to occupational therapy practitioners receiving adequate reimbursement, if any, for doing health promotion and lifestyle-focused work. In this Health Policy Perspectives article, we emphasize the need for reimbursement and propose pathways for new and perhaps untapped or underutilized models of reimbursement for occupational therapy practitioners. These pathways require education and advocacy efforts to showcase our distinct value as key reimbursable and interdisciplinary players in lifestyle medicine and health promotion work.<\/jats:p>","DOI":"10.5014\/ajot.2023.050251","type":"journal-article","created":{"date-parts":[[2023,6,5]],"date-time":"2023-06-05T09:32:06Z","timestamp":1685957526000},"page":"397-403","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Exploring Reimbursement Pathways for Lifestyle Medicine and Health Promotion Services in Occupational Therapy"],"prefix":"10.1177","volume":"77","author":[{"given":"Amy","family":"Sadek","sequence":"first","affiliation":[{"name":"Amy Sadek, PhD, OTR\/L, DipACLM, is Doctoral Capstone Coordinator and Assistant Professor, Occupational Therapy Department, Hawai\u2019i Pacific University, Las Vegas, NV;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christy","family":"Billock","sequence":"additional","affiliation":[{"name":"Christy Billock, PhD, OTR\/L, DipACLM, is Occupational Therapist, private practice, Altadena, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Jordan","sequence":"additional","affiliation":[{"name":"Katie Jordan, OTD, OTR\/L, FAOTA, is Chief Administrative Officer, University Clinical Services, Office of the Provost, and Professor of Clinical Occupational Therapy, Associate Chair of Clinical Occupational Therapy, and Director of Occupational and Speech Therapy Hospital Practice, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,6,2]]},"reference":[{"key":"e_1_3_2_2_1","unstructured":"American Medical Association. (2021). CPT\u00ae. https:\/\/www.ama-assn.org\/practice- management\/cpt"},{"key":"e_1_3_2_3_1","unstructured":"American Medical Association. (2023). 2023 CPT\u00ae codes for occupational therapy. https:\/\/www.aota.org\/practice\/practice-essentials\/coding\/-\/media\/3f72832ed5dc42ef857626a7ad86378a.ashx"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.55.6.656"},{"key":"e_1_3_2_5_1","first-page":"7403420010","article-title":"Occupational therapy in the promotion of health and well-being","volume":"74","author":"American Occupational Therapy Association","year":"2020","unstructured":"American Occupational Therapy Association. (2020a). Occupational therapy in the promotion of health and well-being. American Journal of Occupational Therapy , 74, 7403420010. https:\/\/doi.org\/10.5014\/ajot.2020.743003","journal-title":"American Journal of Occupational Therapy"},{"key":"e_1_3_2_6_1","first-page":"7412410010","article-title":"Occupational therapy practice framework: Domain and process","volume":"74","author":"American Occupational Therapy Association","year":"2020","unstructured":"American Occupational Therapy Association. (2020b). Occupational therapy practice framework: Domain and process (4th ed.). American Journal of Occupational Therapy , 74(Suppl. 2), 7412410010. https:\/\/doi.org\/10.5014\/ajot.2020.74S2001","journal-title":"American Journal of Occupational Therapy"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-020-05199-8"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2016.701002"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2022.048678"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2022\/762001"},{"key":"e_1_3_2_11_1","volume-title":"Lifestyle medicine handbook: An introduction to the power of healthy habits","author":"Frates B.","year":"2021","unstructured":"Frates B., Bonnet J. P., Joseph R., , & Peterson J. A. (2021). Lifestyle medicine handbook: An introduction to the power of healthy habits (2nd ed.). Healthy Learning.","edition":"2"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-015-0267-0"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.12788\/jfp.0255"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2018.723001"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2013.673001"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/8637498"},{"key":"e_1_3_2_17_1","unstructured":"Institute for Healthcare Improvement. (2022). What is the Triple Aim? https:\/\/www.ihi.org\/Topics\/TripleAim\/Pages\/Overview.aspx"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1559827618817294"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2019.735002"},{"key":"e_1_3_2_20_1","first-page":"285","volume-title":"The occupational therapy manager","author":"Jordan K.","year":"2019","unstructured":"Jordan K., , & Sandhu S. (2019). Private health insurance. In Jacobs K., & McCormack G. L. (Eds.), The occupational therapy manager (6th ed., pp. 285\u2013296). AOTA Press.","edition":"6"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2021.756003"},{"key":"e_1_3_2_22_1","volume-title":"Foundations of lifestyle medicine board review manual","author":"Kelly J.","year":"2021","unstructured":"Kelly J., , & Clayton J. S. (2021). Foundations of lifestyle medicine board review manual (3rd ed.). American College of Lifestyle Medicine.","edition":"3"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2017.711001"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.12788\/jfp.0246"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/1559827620904868"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/7412686"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2022.049269"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2020.743002"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077558716666981"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13245"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2020.585744"}],"container-title":["American Journal of Occupational Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.2023.050251","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5014\/ajot.2023.050251","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/research.aota.org\/ajot\/article-pdf\/doi\/10.5014\/ajot.2023.050251\/77586\/7703090010.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.2023.050251","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T06:58:18Z","timestamp":1786690698000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5014\/ajot.2023.050251"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":30,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.5014\/ajot.2023.050251"],"URL":"https:\/\/doi.org\/10.5014\/ajot.2023.050251","relation":{},"ISSN":["1943-7676","1943-7676"],"issn-type":[{"value":"1943-7676","type":"print"},{"value":"1943-7676","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5]]}}}