ABSOLUTELY NOT!!!!!!!!!!!!!  It is your responsibility to provide 
evaluation/justification"in response to a physician" requesting a 
wheelchair assessment.............not per request of a vendor.  This 
vendor sounds very shady.  If the vendor put the w/c out without 
funding......it is their loss and by no way your responsibility.  I would 
educate the patient to complain to whoever their insurance/Medicare rep is 
if the vendor attempts to take their w/c away from them.   May want to 
call Medicare Hotline and report suspicious vendor activity so they can be 
on the look out for possible fraud.  It takes ALL of us to police this 
issue.
Theresa





"Jenny Daup" <[EMAIL PROTECTED]>
Sent by: [EMAIL PROTECTED]
02/05/2007 10:37 AM
Please respond to OTlist


 

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Subject:
[OTlist] ethical wheelchair question



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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