Absolutely not! The DME's have to have a therapist do the eval and write the med necessity letter. If you don't cooperate they won't be able to make their sale. If you are in a snf you need to explain to the administrator why is this unethical and the snf needs to protect their residents against these scum bag vendors by not allowing them into the facility. However if the pts are in independent living or their own homes then you can't do as much to prevent this. This is why medicare now requires a therapist not employed by the vendor to do the eval. I would talk to the reputable vendors about the problem they want it stopped, too. Often they will work to educate health care managers. Good luck. Chris
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