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Physicians referring out of facility

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We are a private practice in a rural setting. Recently, a large Healthcare

company moved into the area and took over the hospital and area physician

clinics. Now, we are having patients tell us that they are not being given the

option as to where they can receive their therapy services. Also, when a

patient requests to see us, they are being told that they can not leave the

" system " . However, our facility is fully credentialed with all insurances

including this " systems " insurance plans.

What is the legality as far as:

1. Are physicians required to give patients their options on where they can

receive therapy services?

2. If a patient requests to have therapy somewhere else, is the physician

obligated to respect the wishes of that patient?

Thank you,

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Another loop to add to the question below:

-Does it make a difference if the large Healthcare company is Non-profit?

Thanks,

> To: ptmanager

> CC: jkapaun@...; cware@...

> From: jasonbrodina@...

> Date: Wed, 28 Sep 2011 09:55:28 -0500

> Subject: Physicians referring out of facility

>

>

> We are a private practice in a rural setting. Recently, a large Healthcare

company moved into the area and took over the hospital and area physician

clinics. Now, we are having patients tell us that they are not being given the

option as to where they can receive their therapy services. Also, when a patient

requests to see us, they are being told that they can not leave the " system " .

However, our facility is fully credentialed with all insurances including this

" systems " insurance plans.

>

> What is the legality as far as:

> 1. Are physicians required to give patients their options on where they can

receive therapy services?

> 2. If a patient requests to have therapy somewhere else, is the physician

obligated to respect the wishes of that patient?

>

> Thank you,

>

>

>

>

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Share on other sites

Another loop to add to the question below:

-Does it make a difference if the large Healthcare company is Non-profit?

Thanks,

> To: ptmanager

> CC: jkapaun@...; cware@...

> From: jasonbrodina@...

> Date: Wed, 28 Sep 2011 09:55:28 -0500

> Subject: Physicians referring out of facility

>

>

> We are a private practice in a rural setting. Recently, a large Healthcare

company moved into the area and took over the hospital and area physician

clinics. Now, we are having patients tell us that they are not being given the

option as to where they can receive their therapy services. Also, when a patient

requests to see us, they are being told that they can not leave the " system " .

However, our facility is fully credentialed with all insurances including this

" systems " insurance plans.

>

> What is the legality as far as:

> 1. Are physicians required to give patients their options on where they can

receive therapy services?

> 2. If a patient requests to have therapy somewhere else, is the physician

obligated to respect the wishes of that patient?

>

> Thank you,

>

>

>

>

Link to comment
Share on other sites

Another loop to add to the question below:

-Does it make a difference if the large Healthcare company is Non-profit?

Thanks,

> To: ptmanager

> CC: jkapaun@...; cware@...

> From: jasonbrodina@...

> Date: Wed, 28 Sep 2011 09:55:28 -0500

> Subject: Physicians referring out of facility

>

>

> We are a private practice in a rural setting. Recently, a large Healthcare

company moved into the area and took over the hospital and area physician

clinics. Now, we are having patients tell us that they are not being given the

option as to where they can receive their therapy services. Also, when a patient

requests to see us, they are being told that they can not leave the " system " .

However, our facility is fully credentialed with all insurances including this

" systems " insurance plans.

>

> What is the legality as far as:

> 1. Are physicians required to give patients their options on where they can

receive therapy services?

> 2. If a patient requests to have therapy somewhere else, is the physician

obligated to respect the wishes of that patient?

>

> Thank you,

>

>

>

>

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