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Hi, Odilia -

Thank you for bringing up this cogent issue! Your address doesn't show

which state you are in, so I'd ask " Are you required to have a

'prescription' to perform a wheelchair evaluation in your state? " You have

a patient who requests your professional service, and you are competent to

perform the evaluation. If you are in a state which permits PT evaluation

without referral, just make arrangements for payment and do it.

Dick Hillyer, DPT

Dr. Hillyer

Hillyer Consulting

Cape Coral, FL 33914

DickHillyer.com

_____

From: PTManager [mailto:PTManager ] On Behalf

Of odiliahome

Sent: Friday, January 06, 2012 5:23 PM

To: PTManager

Subject: referral issue

Hi group,

I had an issue come up today that I need some advice on. I had a patient

call me stating they were working with a DME company on getting a

wheelchair. The DME company requested that a PT perform a wheelchair

evaluation. I do these on a regular basis, and the patient called me to

request that I get a prescription from the MD to perform this.

I send the request to the physician. They called me today and stated they

will not refer out their own hospital system. I called the patient and asked

him to call the doctor and discuss free choice of providers and that he

really wanted me to do the eval. He called the physician, but the physician

is adamant that she will not refer outside her own hospital system for PT,

and that she will be glad to give him a prescription for PT within the

system.

The patient is wanting to pursue reporting this illegal behavior. How does

he go about doing this. Anything I should be doing about this. I have always

known about physicians doing this, just never heard of anybody doing this

when the patient is requesting a specific PT and never heard a doctors

office just coming out and blatantly stating that they are doing this.

Thank you for your advice.

Odilia Egbers, PT

Rehab Enterprises

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Hi Dick,

I am in missouri and our practice act requires we get a prescription.

Odilia

> Hi Dick,

>

> I am in missouri and we do need a prescription.

>

> Odilia

>

>

>> **

>>

>>

>> Hi, Odilia -

>>

>> Thank you for bringing up this cogent issue! Your address doesn't show

>> which state you are in, so I'd ask " Are you required to have a

>> 'prescription' to perform a wheelchair evaluation in your state? " You have

>> a patient who requests your professional service, and you are competent to

>> perform the evaluation. If you are in a state which permits PT evaluation

>> without referral, just make arrangements for payment and do it.

>>

>> Dick Hillyer, DPT

>>

>> Dr. Hillyer

>> Hillyer Consulting

>> Cape Coral, FL 33914

>> DickHillyer.com

>>

>>

>> _____

>>

>> From: PTManager [mailto:PTManager ] On

>> Behalf

>> Of odiliahome

>> Sent: Friday, January 06, 2012 5:23 PM

>> To: PTManager

>> Subject: referral issue

>>

>> Hi group,

>>

>> I had an issue come up today that I need some advice on. I had a patient

>> call me stating they were working with a DME company on getting a

>> wheelchair. The DME company requested that a PT perform a wheelchair

>> evaluation. I do these on a regular basis, and the patient called me to

>> request that I get a prescription from the MD to perform this.

>>

>> I send the request to the physician. They called me today and stated they

>> will not refer out their own hospital system. I called the patient and

>> asked

>> him to call the doctor and discuss free choice of providers and that he

>> really wanted me to do the eval. He called the physician, but the

>> physician

>> is adamant that she will not refer outside her own hospital system for PT,

>> and that she will be glad to give him a prescription for PT within the

>> system.

>>

>> The patient is wanting to pursue reporting this illegal behavior. How does

>> he go about doing this. Anything I should be doing about this. I have

>> always

>> known about physicians doing this, just never heard of anybody doing this

>> when the patient is requesting a specific PT and never heard a doctors

>> office just coming out and blatantly stating that they are doing this.

>>

>> Thank you for your advice.

>>

>> Odilia Egbers, PT

>> Rehab Enterprises

>>

>>

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Hi,

I guess I would ask then why wouldn't you refer the patient to another

physician, one that would refer to you? Is there a reason why you couldn't

do this? This physician doesn't sound like one that would refer to your

clinic anyway so there shouldn't be a concern about losing a referral

source. Unless the patient's insurance is dictating the physician, the best

way to send a message is for the patient to fire the physician, establish

with a better physician, then tell all her friends and family to follow her

there. This is just business and there is nothing unethical to you

recommending this to the patient as long. First, though, we need to know is

there is a reason that the patient could not do this.

M.Howell, P.T., M.P.T.

IPTA Payment Specialist

Meridian, Idaho

thowell@...

This email and any files transmitted with it may contain PRIVILEGED or

CONFIDENTIAL information and may be read or used only by the intended

recipient. If you are not the intended recipient of the email or any of its

attachments, please be advised that you have received this email in error

and that any use, dissemination, distribution, forwarding, printing or

copying of this email or any attached files is strictly prohibited. If you

have received this email in error, please immediately purge it and all

attachments and notify the sender by reply email.

From: PTManager [mailto:PTManager ] On Behalf

Of Odilia Egbers

Sent: Friday, January 06, 2012 4:35 PM

To: PTManager

Subject: RE: referral issue

Hi Dick,

I am in missouri and our practice act requires we get a prescription.

Odilia

On Jan 6, 2012 5:32 PM, " Odilia Egbers " <odilia1973@...

<mailto:odilia1973%40gmail.com> > wrote:

> Hi Dick,

>

> I am in missouri and we do need a prescription.

>

> Odilia

> On Jan 6, 2012 5:31 PM, " Dick Hillyer " <RHillyer@...

<mailto:RHillyer%40comcast.net> > wrote:

>

>> **

>>

>>

>> Hi, Odilia -

>>

>> Thank you for bringing up this cogent issue! Your address doesn't show

>> which state you are in, so I'd ask " Are you required to have a

>> 'prescription' to perform a wheelchair evaluation in your state? " You

have

>> a patient who requests your professional service, and you are competent

to

>> perform the evaluation. If you are in a state which permits PT evaluation

>> without referral, just make arrangements for payment and do it.

>>

>> Dick Hillyer, DPT

>>

>> Dr. Hillyer

>> Hillyer Consulting

>> Cape Coral, FL 33914

>> DickHillyer.com

>>

>>

>> _____

>>

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

[mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On

>> Behalf

>> Of odiliahome

>> Sent: Friday, January 06, 2012 5:23 PM

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

>> Subject: referral issue

>>

>> Hi group,

>>

>> I had an issue come up today that I need some advice on. I had a patient

>> call me stating they were working with a DME company on getting a

>> wheelchair. The DME company requested that a PT perform a wheelchair

>> evaluation. I do these on a regular basis, and the patient called me to

>> request that I get a prescription from the MD to perform this.

>>

>> I send the request to the physician. They called me today and stated they

>> will not refer out their own hospital system. I called the patient and

>> asked

>> him to call the doctor and discuss free choice of providers and that he

>> really wanted me to do the eval. He called the physician, but the

>> physician

>> is adamant that she will not refer outside her own hospital system for

PT,

>> and that she will be glad to give him a prescription for PT within the

>> system.

>>

>> The patient is wanting to pursue reporting this illegal behavior. How

does

>> he go about doing this. Anything I should be doing about this. I have

>> always

>> known about physicians doing this, just never heard of anybody doing this

>> when the patient is requesting a specific PT and never heard a doctors

>> office just coming out and blatantly stating that they are doing this.

>>

>> Thank you for your advice.

>>

>> Odilia Egbers, PT

>> Rehab Enterprises

>>

>>

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There is no reason why the patient couldn't do this, other than this is a

primary care physician and around here you are lucky to get in with a

primary care physician in 3 months. We do not have enough PCP's in this

area. While getting another physician would solve this patients problem it

would not solve the problem of federal law being broken by not allowing

patients a choice of provider in general.

Odilia

On Fri, Jan 6, 2012 at 9:39 PM, M. Howell PT, MPT <

thowell@...> wrote:

> **

>

>

> Hi,

>

> I guess I would ask then why wouldn't you refer the patient to another

> physician, one that would refer to you? Is there a reason why you couldn't

> do this? This physician doesn't sound like one that would refer to your

> clinic anyway so there shouldn't be a concern about losing a referral

> source. Unless the patient's insurance is dictating the physician, the best

> way to send a message is for the patient to fire the physician, establish

> with a better physician, then tell all her friends and family to follow her

> there. This is just business and there is nothing unethical to you

> recommending this to the patient as long. First, though, we need to know is

> there is a reason that the patient could not do this.

>

> M.Howell, P.T., M.P.T.

>

> IPTA Payment Specialist

>

> Meridian, Idaho

>

> thowell@...

>

> This email and any files transmitted with it may contain PRIVILEGED or

> CONFIDENTIAL information and may be read or used only by the intended

> recipient. If you are not the intended recipient of the email or any of its

> attachments, please be advised that you have received this email in error

> and that any use, dissemination, distribution, forwarding, printing or

> copying of this email or any attached files is strictly prohibited. If you

> have received this email in error, please immediately purge it and all

> attachments and notify the sender by reply email.

>

>

> From: PTManager [mailto:PTManager ] On

> Behalf

> Of Odilia Egbers

> Sent: Friday, January 06, 2012 4:35 PM

> To: PTManager

> Subject: RE: referral issue

>

>

> Hi Dick,

>

> I am in missouri and our practice act requires we get a prescription.

>

> Odilia

> On Jan 6, 2012 5:32 PM, " Odilia Egbers " <odilia1973@...

> <mailto:odilia1973%40gmail.com> > wrote:

>

> > Hi Dick,

> >

> > I am in missouri and we do need a prescription.

> >

> > Odilia

> > On Jan 6, 2012 5:31 PM, " Dick Hillyer " <RHillyer@...

> <mailto:RHillyer%40comcast.net> > wrote:

> >

> >> **

>

> >>

> >>

> >> Hi, Odilia -

> >>

> >> Thank you for bringing up this cogent issue! Your address doesn't show

> >> which state you are in, so I'd ask " Are you required to have a

> >> 'prescription' to perform a wheelchair evaluation in your state? " You

> have

> >> a patient who requests your professional service, and you are competent

> to

> >> perform the evaluation. If you are in a state which permits PT

> evaluation

> >> without referral, just make arrangements for payment and do it.

> >>

> >> Dick Hillyer, DPT

> >>

> >> Dr. Hillyer

> >> Hillyer Consulting

> >> Cape Coral, FL 33914

> >> DickHillyer.com

> >>

> >>

> >> _____

> >>

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

> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ]

> On

>

> >> Behalf

> >> Of odiliahome

> >> Sent: Friday, January 06, 2012 5:23 PM

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

> >> Subject: referral issue

> >>

> >> Hi group,

> >>

> >> I had an issue come up today that I need some advice on. I had a patient

> >> call me stating they were working with a DME company on getting a

> >> wheelchair. The DME company requested that a PT perform a wheelchair

> >> evaluation. I do these on a regular basis, and the patient called me to

> >> request that I get a prescription from the MD to perform this.

> >>

> >> I send the request to the physician. They called me today and stated

> they

> >> will not refer out their own hospital system. I called the patient and

> >> asked

> >> him to call the doctor and discuss free choice of providers and that he

> >> really wanted me to do the eval. He called the physician, but the

> >> physician

> >> is adamant that she will not refer outside her own hospital system for

> PT,

> >> and that she will be glad to give him a prescription for PT within the

> >> system.

> >>

> >> The patient is wanting to pursue reporting this illegal behavior. How

> does

> >> he go about doing this. Anything I should be doing about this. I have

> >> always

> >> known about physicians doing this, just never heard of anybody doing

> this

> >> when the patient is requesting a specific PT and never heard a doctors

> >> office just coming out and blatantly stating that they are doing this.

> >>

> >> Thank you for your advice.

> >>

> >> Odilia Egbers, PT

> >> Rehab Enterprises

> >>

> >>

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It is my understanding that a prescription is a prescription. It

shouldn't matter if it is an " internal referral " or not. I am not aware

of any stipulation that I therapist cannot see a patient if the

prescription for physical therapy is not on a specific type of

prescription script pad. If the physician is willing to write a

prescription, then have her do it. The patient can then take the

prescription to any provider he would like.

Someone please correct me if this is not correct. We see patients

frequently that have prescriptions written on other facilities script

pads.

Ken , PT

Body One Physical Therapy

7855 South Emerson Ave,

Suite W

Indianapolis, IN 46237

P;

F:

From: PTManager [mailto:PTManager ] On

Behalf Of M. Howell PT, MPT

Sent: Friday, January 06, 2012 10:40 PM

To: PTManager

Subject: RE: referral issue

Hi,

I guess I would ask then why wouldn't you refer the patient to another

physician, one that would refer to you? Is there a reason why you

couldn't

do this? This physician doesn't sound like one that would refer to your

clinic anyway so there shouldn't be a concern about losing a referral

source. Unless the patient's insurance is dictating the physician, the

best

way to send a message is for the patient to fire the physician,

establish

with a better physician, then tell all her friends and family to follow

her

there. This is just business and there is nothing unethical to you

recommending this to the patient as long. First, though, we need to know

is

there is a reason that the patient could not do this.

M.Howell, P.T., M.P.T.

IPTA Payment Specialist

Meridian, Idaho

<mailto:thowell@... <mailto:thowell%40fiberpipe.net> >

thowell@... <mailto:thowell%40fiberpipe.net>

This email and any files transmitted with it may contain PRIVILEGED or

CONFIDENTIAL information and may be read or used only by the intended

recipient. If you are not the intended recipient of the email or any of

its

attachments, please be advised that you have received this email in

error

and that any use, dissemination, distribution, forwarding, printing or

copying of this email or any attached files is strictly prohibited. If

you

have received this email in error, please immediately purge it and all

attachments and notify the sender by reply email.

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

[mailto:PTManager <mailto:PTManager%40yahoogroups.com> ]

On Behalf

Of Odilia Egbers

Sent: Friday, January 06, 2012 4:35 PM

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

Subject: RE: referral issue

Hi Dick,

I am in missouri and our practice act requires we get a prescription.

Odilia

On Jan 6, 2012 5:32 PM, " Odilia Egbers " <odilia1973@...

<mailto:odilia1973%40gmail.com>

<mailto:odilia1973%40gmail.com> > wrote:

> Hi Dick,

>

> I am in missouri and we do need a prescription.

>

> Odilia

> On Jan 6, 2012 5:31 PM, " Dick Hillyer " <RHillyer@...

<mailto:RHillyer%40comcast.net>

<mailto:RHillyer%40comcast.net> > wrote:

>

>> **

>>

>>

>> Hi, Odilia -

>>

>> Thank you for bringing up this cogent issue! Your address doesn't

show

>> which state you are in, so I'd ask " Are you required to have a

>> 'prescription' to perform a wheelchair evaluation in your state? " You

have

>> a patient who requests your professional service, and you are

competent

to

>> perform the evaluation. If you are in a state which permits PT

evaluation

>> without referral, just make arrangements for payment and do it.

>>

>> Dick Hillyer, DPT

>>

>> Dr. Hillyer

>> Hillyer Consulting

>> Cape Coral, FL 33914

>> DickHillyer.com

>>

>>

>> _____

>>

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

<mailto:PTManager%40yahoogroups.com>

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

<mailto:PTManager%40yahoogroups.com> ] On

>> Behalf

>> Of odiliahome

>> Sent: Friday, January 06, 2012 5:23 PM

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

<mailto:PTManager%40yahoogroups.com>

>> Subject: referral issue

>>

>> Hi group,

>>

>> I had an issue come up today that I need some advice on. I had a

patient

>> call me stating they were working with a DME company on getting a

>> wheelchair. The DME company requested that a PT perform a wheelchair

>> evaluation. I do these on a regular basis, and the patient called me

to

>> request that I get a prescription from the MD to perform this.

>>

>> I send the request to the physician. They called me today and stated

they

>> will not refer out their own hospital system. I called the patient

and

>> asked

>> him to call the doctor and discuss free choice of providers and that

he

>> really wanted me to do the eval. He called the physician, but the

>> physician

>> is adamant that she will not refer outside her own hospital system

for

PT,

>> and that she will be glad to give him a prescription for PT within

the

>> system.

>>

>> The patient is wanting to pursue reporting this illegal behavior. How

does

>> he go about doing this. Anything I should be doing about this. I have

>> always

>> known about physicians doing this, just never heard of anybody doing

this

>> when the patient is requesting a specific PT and never heard a

doctors

>> office just coming out and blatantly stating that they are doing

this.

>>

>> Thank you for your advice.

>>

>> Odilia Egbers, PT

>> Rehab Enterprises

>>

>>

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My suggestion would be to make the verification call and then you can find out

if it is a closed system. If not and you have authorization to treat, you're

set. The doc doesn't have to like it. The patient chose you and insurance

approved it. End of story. Doug

Doug Sparks

Advanced Physical Therapy Concepts / APTC

www.aptc.biz<http://www.aptc.biz/>

doug@...

referral issue

> >>

> >> Hi group,

> >>

> >> I had an issue come up today that I need some advice on. I had a patient

> >> call me stating they were working with a DME company on getting a

> >> wheelchair. The DME company requested that a PT perform a wheelchair

> >> evaluation. I do these on a regular basis, and the patient called me to

> >> request that I get a prescription from the MD to perform this.

> >>

> >> I send the request to the physician. They called me today and stated

> they

> >> will not refer out their own hospital system. I called the patient and

> >> asked

> >> him to call the doctor and discuss free choice of providers and that he

> >> really wanted me to do the eval. He called the physician, but the

> >> physician

> >> is adamant that she will not refer outside her own hospital system for

> PT,

> >> and that she will be glad to give him a prescription for PT within the

> >> system.

> >>

> >> The patient is wanting to pursue reporting this illegal behavior. How

> does

> >> he go about doing this. Anything I should be doing about this. I have

> >> always

> >> known about physicians doing this, just never heard of anybody doing

> this

> >> when the patient is requesting a specific PT and never heard a doctors

> >> office just coming out and blatantly stating that they are doing this.

> >>

> >> Thank you for your advice.

> >>

> >> Odilia Egbers, PT

> >> Rehab Enterprises

> >>

> >>

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Share on other sites

Great thread and some really good thoughts and opinions though I see that you

still haven't had your question answered so, because I would like to know the

answer as well, I will re-ask it:

The patient is wanting to pursue reporting this illegal action, how does he go

about it?

I have run across similar actions and I have called the physician directly and

asked them to explain to me why they would deny a patient their right to see me,

I ask if there is something I or my company has ever done to or with one of

their patient's in the past that has concerned them, when the answer is no I

then again ask why they would deny their patients rights. I explain my

relationship with the patient, why they have chosen to see me, etc. I have

never had a refusal beyond that point though I have had a few who refuse to ever

come to the phone, for those we find another physician or I ask the patient to

go to a local walk in clinic for a referral, the shame of that is the increased

cost not only to the patient but to the entire system, something we and the APTA

should be shouting from the mountain tops.

Sincerely,

E. s, PT, DPT

Orthopedic Clinical Specialist

Fellow American Academy of Orthopedic Manual Physical Therapists

www.douglasspt.com

>

> Hi group,

>

> I had an issue come up today that I need some advice on. I had a patient call

me stating they were working with a DME company on getting a wheelchair. The DME

company requested that a PT perform a wheelchair evaluation. I do these on a

regular basis, and the patient called me to request that I get a prescription

from the MD to perform this.

>

> I send the request to the physician. They called me today and stated they will

not refer out their own hospital system. I called the patient and asked him to

call the doctor and discuss free choice of providers and that he really wanted

me to do the eval. He called the physician, but the physician is adamant that

she will not refer outside her own hospital system for PT, and that she will be

glad to give him a prescription for PT within the system.

>

> The patient is wanting to pursue reporting this illegal behavior. How does he

go about doing this. Anything I should be doing about this. I have always known

about physicians doing this, just never heard of anybody doing this when the

patient is requesting a specific PT and never heard a doctors office just coming

out and blatantly stating that they are doing this.

>

> Thank you for your advice.

>

> Odilia Egbers, PT

> Rehab Enterprises

>

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Share on other sites

I would be surprised if that is the position of a single physician and not a

general policy (to only refer internally) that is propagated throughout that

hospital's entire system. (Am I wrong?) If this is the case, doesn't it seem

important to address the issue rather than skirting around it and finding

another physician outside the hospital to make the referral? If this is illegal

behavior, shouldn't there be a method for correcting it and facilitating a

change of the hospital's policies?

Cohen PT, MS

North Carolina

> >

> >> **

> >>

> >>

> >> Hi, Odilia -

> >>

> >> Thank you for bringing up this cogent issue! Your address doesn't show

> >> which state you are in, so I'd ask " Are you required to have a

> >> 'prescription' to perform a wheelchair evaluation in your state? " You

> have

> >> a patient who requests your professional service, and you are competent

> to

> >> perform the evaluation. If you are in a state which permits PT evaluation

> >> without referral, just make arrangements for payment and do it.

> >>

> >> Dick Hillyer, DPT

> >>

> >> Dr. Hillyer

> >> Hillyer Consulting

> >> Cape Coral, FL 33914

> >> DickHillyer.com

> >>

> >>

> >> _____

> >>

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

> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On

> >> Behalf

> >> Of odiliahome

> >> Sent: Friday, January 06, 2012 5:23 PM

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

> >> Subject: referral issue

> >>

> >> Hi group,

> >>

> >> I had an issue come up today that I need some advice on. I had a patient

> >> call me stating they were working with a DME company on getting a

> >> wheelchair. The DME company requested that a PT perform a wheelchair

> >> evaluation. I do these on a regular basis, and the patient called me to

> >> request that I get a prescription from the MD to perform this.

> >>

> >> I send the request to the physician. They called me today and stated they

> >> will not refer out their own hospital system. I called the patient and

> >> asked

> >> him to call the doctor and discuss free choice of providers and that he

> >> really wanted me to do the eval. He called the physician, but the

> >> physician

> >> is adamant that she will not refer outside her own hospital system for

> PT,

> >> and that she will be glad to give him a prescription for PT within the

> >> system.

> >>

> >> The patient is wanting to pursue reporting this illegal behavior. How

> does

> >> he go about doing this. Anything I should be doing about this. I have

> >> always

> >> known about physicians doing this, just never heard of anybody doing this

> >> when the patient is requesting a specific PT and never heard a doctors

> >> office just coming out and blatantly stating that they are doing this.

> >>

> >> Thank you for your advice.

> >>

> >> Odilia Egbers, PT

> >> Rehab Enterprises

> >>

> >>

Link to comment
Share on other sites

I would be surprised if that is the position of a single physician and not a

general policy (to only refer internally) that is propagated throughout that

hospital's entire system. (Am I wrong?) If this is the case, doesn't it seem

important to address the issue rather than skirting around it and finding

another physician outside the hospital to make the referral? If this is illegal

behavior, shouldn't there be a method for correcting it and facilitating a

change of the hospital's policies?

Cohen PT, MS

North Carolina

> >

> >> **

> >>

> >>

> >> Hi, Odilia -

> >>

> >> Thank you for bringing up this cogent issue! Your address doesn't show

> >> which state you are in, so I'd ask " Are you required to have a

> >> 'prescription' to perform a wheelchair evaluation in your state? " You

> have

> >> a patient who requests your professional service, and you are competent

> to

> >> perform the evaluation. If you are in a state which permits PT evaluation

> >> without referral, just make arrangements for payment and do it.

> >>

> >> Dick Hillyer, DPT

> >>

> >> Dr. Hillyer

> >> Hillyer Consulting

> >> Cape Coral, FL 33914

> >> DickHillyer.com

> >>

> >>

> >> _____

> >>

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

> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On

> >> Behalf

> >> Of odiliahome

> >> Sent: Friday, January 06, 2012 5:23 PM

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

> >> Subject: referral issue

> >>

> >> Hi group,

> >>

> >> I had an issue come up today that I need some advice on. I had a patient

> >> call me stating they were working with a DME company on getting a

> >> wheelchair. The DME company requested that a PT perform a wheelchair

> >> evaluation. I do these on a regular basis, and the patient called me to

> >> request that I get a prescription from the MD to perform this.

> >>

> >> I send the request to the physician. They called me today and stated they

> >> will not refer out their own hospital system. I called the patient and

> >> asked

> >> him to call the doctor and discuss free choice of providers and that he

> >> really wanted me to do the eval. He called the physician, but the

> >> physician

> >> is adamant that she will not refer outside her own hospital system for

> PT,

> >> and that she will be glad to give him a prescription for PT within the

> >> system.

> >>

> >> The patient is wanting to pursue reporting this illegal behavior. How

> does

> >> he go about doing this. Anything I should be doing about this. I have

> >> always

> >> known about physicians doing this, just never heard of anybody doing this

> >> when the patient is requesting a specific PT and never heard a doctors

> >> office just coming out and blatantly stating that they are doing this.

> >>

> >> Thank you for your advice.

> >>

> >> Odilia Egbers, PT

> >> Rehab Enterprises

> >>

> >>

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I would be surprised if that is the position of a single physician and not a

general policy (to only refer internally) that is propagated throughout that

hospital's entire system. (Am I wrong?) If this is the case, doesn't it seem

important to address the issue rather than skirting around it and finding

another physician outside the hospital to make the referral? If this is illegal

behavior, shouldn't there be a method for correcting it and facilitating a

change of the hospital's policies?

Cohen PT, MS

North Carolina

> >

> >> **

> >>

> >>

> >> Hi, Odilia -

> >>

> >> Thank you for bringing up this cogent issue! Your address doesn't show

> >> which state you are in, so I'd ask " Are you required to have a

> >> 'prescription' to perform a wheelchair evaluation in your state? " You

> have

> >> a patient who requests your professional service, and you are competent

> to

> >> perform the evaluation. If you are in a state which permits PT evaluation

> >> without referral, just make arrangements for payment and do it.

> >>

> >> Dick Hillyer, DPT

> >>

> >> Dr. Hillyer

> >> Hillyer Consulting

> >> Cape Coral, FL 33914

> >> DickHillyer.com

> >>

> >>

> >> _____

> >>

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

> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On

> >> Behalf

> >> Of odiliahome

> >> Sent: Friday, January 06, 2012 5:23 PM

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

> >> Subject: referral issue

> >>

> >> Hi group,

> >>

> >> I had an issue come up today that I need some advice on. I had a patient

> >> call me stating they were working with a DME company on getting a

> >> wheelchair. The DME company requested that a PT perform a wheelchair

> >> evaluation. I do these on a regular basis, and the patient called me to

> >> request that I get a prescription from the MD to perform this.

> >>

> >> I send the request to the physician. They called me today and stated they

> >> will not refer out their own hospital system. I called the patient and

> >> asked

> >> him to call the doctor and discuss free choice of providers and that he

> >> really wanted me to do the eval. He called the physician, but the

> >> physician

> >> is adamant that she will not refer outside her own hospital system for

> PT,

> >> and that she will be glad to give him a prescription for PT within the

> >> system.

> >>

> >> The patient is wanting to pursue reporting this illegal behavior. How

> does

> >> he go about doing this. Anything I should be doing about this. I have

> >> always

> >> known about physicians doing this, just never heard of anybody doing this

> >> when the patient is requesting a specific PT and never heard a doctors

> >> office just coming out and blatantly stating that they are doing this.

> >>

> >> Thank you for your advice.

> >>

> >> Odilia Egbers, PT

> >> Rehab Enterprises

> >>

> >>

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