Re: delicate patient situation-reply

[Guest guest]

We, too, deal with this issue in all arenas (OT/PT/ST). I can think of

several patients who have continually changed MDs to secure a tx eval/tx

order! One way we've tried to manage same is to provide the patient with a

MC denial notice, as per WI FI something like 'The provider should have

known that services were non covered'-which in denail of services comes to us

in these sceanrios. Post denial MC (A/B) we provide another letter to the

pt/DPOA re: options and allow 'selection' of choice, then document same. This

includes the therapist screen and/or restorative aspects per

eval-to-restorative, whatever history we have/are aware of, and that the

skilled aspect appears to be unwarranted. The therapist contacts the

ordering MD with same (does NOT necessarily stop the MD from

ordering/reording services in short sequence...we try to educate the docs re:

guidelines).

Hope this helps!

Betty