Here is an ethical question for all of you.

-DME company dispenses a number of wheelchairs to clients with the promise
that medicare or insurance will pay for them.
- DME company then requests that an outpatient clinic send a therapist to
evaluate clients for the wheelchairs that they already have and then file
paperwork for medical necessity. 

Here is the clincher...the patients have had their wheelchairs for an
extended length of time, anywhere from 6 months to 18 months! Many of the
clients are openly hostile to the OT because they don't see a reason that
she is there to do a "wheelchair evaluation". They are afraid she is going
to take their wheelchair away.

What do you think? Is it ethical to perform the eval "after the fact"?



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