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Absolutely not, unless you contracted for it.

This message and any of its attachments is private and confidential and intended

solely for the recipient(s) named above.

It may contain Protected Health Information (PHI), which is protected by State

and Federal Law. If you received this message in error,

please contact the sender immediately for remedial measures. If you accept

this message you agree to store it in a safe, protected and confidential

manner, according to HIPAA standards.

Armin Loges, P.T.

armin@...

www.restoretherapies.com

From: Wade

Sent: Thursday, March 13, 2008 9:27 PM

To: PTManager

Subject: interpreter services

Are private outpatient clinics required to provide interpreter services

free of charge to non-English speaking patients?

Wade , PT

Oregon

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Guest guest

But hospitals are and at $50/hr plus travel time it add up quickly.

Pierre H. Rougny, PT,OCS, MTC

Director of Rehabilitation Services

Sebasticook Valley Hospital

141 Leighton St.

Pittsfield, ME 04967

(207)487-9293

________________________________

From: PTManager [mailto:PTManager ] On

Behalf Of Armin Loges, P.T.

Sent: Friday, March 14, 2008 8:17 AM

To: PTManager

Subject: Re: interpreter services

Absolutely not, unless you contracted for it.

This message and any of its attachments is private and confidential and

intended solely for the recipient(s) named above.

It may contain Protected Health Information (PHI), which is protected by

State and Federal Law. If you received this message in error,

please contact the sender immediately for remedial measures. If you

accept this message you agree to store it in a safe, protected and

confidential

manner, according to HIPAA standards.

Armin Loges, P.T.

armin@... <mailto:armin%40restoretherapies.com>

www.restoretherapies.com

From: Wade

Sent: Thursday, March 13, 2008 9:27 PM

To: PTManager <mailto:PTManager%40yahoogroups.com>

Subject: interpreter services

Are private outpatient clinics required to provide interpreter services

free of charge to non-English speaking patients?

Wade , PT

Oregon

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Wade

In general a small outpatient rehab clinic would not be subject to the

provisions of Section 504 of the Rehabilitation Act of 1973 requiring

interpreter services. The following provision may apply in your

circumstance:

c) Auxiliary aids. (1) A recipient with fifteen or more employees " shall

provide appropriate auxiliary aids to persons with impaired sensory, manual,

or speaking skills, where necessary to afford such person an equal

opportunity to benefit from the service in question. " (2) Pursuant to the

Department's discretion, recipients with fewer than fifteen employees may be

required " to provide auxiliary aids where the provision of aids would not

significantly impair the ability of the recipient to provide its benefits or

services. " (3) " Auxiliary aids may include brailed and taped material,

interpreters, and other aids for persons with impaired hearing or vision. "

The full regulation may be found at 45 CFR Part 84

<http://www.hhs.gov/ocr/part80rg.html> .

Hospitals, rehab agencies, CORFs and institutional providers are required to

be in compliance with various regulations governed by the Office of Civil

Rights, and generally this development of appropriate policies and

procedures is part of the Medicare application and survey and certification

process. (A detailed packet is usually provided).

For a private practice clinic, it is appropriate to know and monitor what

Civil Rights regulations apply, and at what point they kick in (e.g. 15

employees in the case noted above).

Region X of the Office of Civil Rights is located in Seattle - I am sure

they would be glad to assist you with any questions. I can assure you that

you do not want to have a patient, family member or employee file a civil

rights grievance. Even if you prevail, it is time consuming, costly, and

can be very adversarial, including negative publicity. I speak from

experience in this matter!

J. Beckley, MS, MBA, CHC

Bloomingdale Consutling Group, Inc

P: F:

www.BloomingdaleConsulting.com <http://www.bloomingdaleconsulting.com/>

_____

From: PTManager [mailto:PTManager ] On Behalf

Of Wade

Sent: Thursday, March 13, 2008 9:27 PM

To: PTManager

Subject: interpreter services

Are private outpatient clinics required to provide interpreter services

free of charge to non-English speaking patients?

Wade , PT

Oregon

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Guest guest

I was told that since I receive federal money (ie: Medicare payments), I

am required to pay for interpretor services to non-English speaking

patients. There is currently a non-English speaking patient wanting to

come to my clinic and is insisting I pay for an interpretor.

The rates range from $30/hour up to $10/minute! I have to say I was

astonished to find the number of services out there charging $10/minute.

If I do pay for an interpretor would it have to be an " official "

interpretor or could I find a bilingual college student to do the job?

Thank you,

Wade , PT

Oregon

Armin Loges, P.T. wrote:

>

> Absolutely not, unless you contracted for it.

>

> This message and any of its attachments is private and confidential

> and intended solely for the recipient(s) named above.

> It may contain Protected Health Information (PHI), which is protected

> by State and Federal Law. If you received this message in error,

> please contact the sender immediately for remedial measures. If you

> accept this message you agree to store it in a safe, protected and

> confidential

> manner, according to HIPAA standards.

>

> Armin Loges, P.T.

>

> armin@... <mailto:armin%40restoretherapies.com>

> www.restoretherapies.com

>

> From: Wade

> Sent: Thursday, March 13, 2008 9:27 PM

> To: PTManager <mailto:PTManager%40yahoogroups.com>

> Subject: interpreter services

>

> Are private outpatient clinics required to provide interpreter services

> free of charge to non-English speaking patients?

>

> Wade , PT

> Oregon

>

>

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Guest guest

We use a system (www.languageline.com) at our hospital, where you utilize a

two-person phone (you could use a regular phone on speaker) for interpreter

services. Our case management department set it up do I don't know all the

details or fees, but we have used it several times in the PT/OT clinics and it

works well. Meets all the requirements for an interpreter/confidentiality, etc.

Laurie

Laurie DeSort, PT, SCS

Director, Rehabilitative Services

Lake Forest Hospital

660 N. Westmoreland Rd

Lake Forest, IL 60045

  phone

  fax

ldesort@...

www.lfh.org

NOTICE: This email and any attachments are intended only for the named

recipient(s), and may include confidential, proprietary or legally privileged

information.  If you are not the named recipient, you are not authorized to

copy, print, share, save or rely upon this email or any attachments; instead

please notify the sender by reply and immediately destroy this email and any

attachments.

interpreter services

>

> Are private outpatient clinics required to provide interpreter services

> free of charge to non-English speaking patients?

>

> Wade , PT

> Oregon

>

>

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Guest guest

Wade -

http://www.omhrc.gov/assets/pdf/checked/finalreport.pdf

The 14 CLAS Standards, from the Office of Minority Health, are for

healthcare organizations. Standards 4, 5, 6, & 7. are mandatory for

healthcare organizations.

If you're an individual provider, like a private PT practice with less than

15 employees, these appear to be optional, but in the interest of Evidence

Based Management, you should read them for yourself.

Hope that is informative!

Dr. Dick Hillyer

Dr. W. Hillyer,PT,DPT,MBA,MSM

Hillyer Consulting

Cape Coral, Florida

Mobile

_____

From: PTManager [mailto:PTManager ] On Behalf

Of Wade

Sent: Friday, March 14, 2008 12:05 PM

To: PTManager

Subject: Re: interpreter services

I was told that since I receive federal money (ie: Medicare payments), I

am required to pay for interpretor services to non-English speaking

patients. There is currently a non-English speaking patient wanting to

come to my clinic and is insisting I pay for an interpretor.

The rates range from $30/hour up to $10/minute! I have to say I was

astonished to find the number of services out there charging $10/minute.

If I do pay for an interpretor would it have to be an " official "

interpretor or could I find a bilingual college student to do the job?

Thank you,

Wade , PT

Oregon

Armin Loges, P.T. wrote:

>

> Absolutely not, unless you contracted for it.

>

> This message and any of its attachments is private and confidential

> and intended solely for the recipient(s) named above.

> It may contain Protected Health Information (PHI), which is protected

> by State and Federal Law. If you received this message in error,

> please contact the sender immediately for remedial measures. If you

> accept this message you agree to store it in a safe, protected and

> confidential

> manner, according to HIPAA standards.

>

> Armin Loges, P.T.

>

> armin@restoretherap <mailto:armin%40restoretherapies.com> ies.com

<mailto:armin%40restoretherapies.com>

> www.restoretherapies.com

>

> From: Wade

> Sent: Thursday, March 13, 2008 9:27 PM

> To: PTManager@yahoogrou <mailto:PTManager%40yahoogroups.com> ps.com

<mailto:PTManager%40yahoogroups.com>

> Subject: interpreter services

>

> Are private outpatient clinics required to provide interpreter services

> free of charge to non-English speaking patients?

>

> Wade , PT

> Oregon

>

>

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Guest guest

I must admit I never heard of that and find it hard to believe. But hey, it's

the government...

If in fact it is true, I believe I would consider refusing to take that patient

if it would cost me 10.00/min (or even 30.00 per hour!)

However, on the other hand, why would the patient object to a student

translating providing he/she was proficient enough?

Being in Florida, we get a lot of patients of other languages, mostly Spanish

but some from Haiti (Creole/French) and some Italian.

They always brought someone with them as translator and never demanded it from

the clinic.

Perhaps APTA can assist you.

Armin Loges, P.T.

TAMPA, FL

armin@...

www.restoretherapies.com

From: Wade

Sent: Friday, March 14, 2008 12:05 PM

To: PTManager

Subject: Re: interpreter services

I was told that since I receive federal money (ie: Medicare payments), I

am required to pay for interpretor services to non-English speaking

patients. There is currently a non-English speaking patient wanting to

come to my clinic and is insisting I pay for an interpretor.

The rates range from $30/hour up to $10/minute! I have to say I was

astonished to find the number of services out there charging $10/minute.

If I do pay for an interpretor would it have to be an " official "

interpretor or could I find a bilingual college student to do the job?

Thank you,

Wade , PT

Oregon

Armin Loges, P.T. wrote:

>

> Absolutely not, unless you contracted for it.

>

> This message and any of its attachments is private and confidential

> and intended solely for the recipient(s) named above.

> It may contain Protected Health Information (PHI), which is protected

> by State and Federal Law. If you received this message in error,

> please contact the sender immediately for remedial measures. If you

> accept this message you agree to store it in a safe, protected and

> confidential

> manner, according to HIPAA standards.

>

> Armin Loges, P.T.

>

> armin@... <mailto:armin%40restoretherapies.com>

> www.restoretherapies.com

>

> From: Wade

> Sent: Thursday, March 13, 2008 9:27 PM

> To: PTManager <mailto:PTManager%40yahoogroups.com>

> Subject: interpreter services

>

> Are private outpatient clinics required to provide interpreter services

> free of charge to non-English speaking patients?

>

> Wade , PT

> Oregon

>

>

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Guest guest

I speak Spanish, Portuguese, and French. We deal with about 14 other

languages in my practice. Other than Spanish speakers my Assyrian, Farsi,

and Cambodian patients will bring a family member who speak English.

Spanish speakers expect that we are all fluent. When I lived overseas, I did

not have that expectation.

interpreter services

>

> Are private outpatient clinics required to provide interpreter services

> free of charge to non-English speaking patients?

>

> Wade , PT

> Oregon

>

>

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