Mary Foto, OT, FAOTA, CCM, is known as an advocate for quality occupational therapy practice. As a co-founder The Foto Group in 1969, she developed an agency that performs concurrent review, retrospective review, case management, and utilization review for the insurance industry. She is a leading expert on reimbursement and payer policy, is recognized as a non-physician medical reviewer and evidence-based practice expert, and has served as AOTA’s representative to the American Medical Association’s Health Care Practitioner Advisory Committee Review Board for the past 26 years. She has been AOTA’s President (1995–1998) and worked on numerous AOTA commissions and committees as well as was a board member and Secretary for AOTF. Read Foto’s article on OT generalists vs. specialists.