Amen Sue and I agree with you so much.  However, since the invention  of 
the Internet, which is celebrating its 40th year... yesterday,  electric  
wheelchairs are being sold from the Internet with no human contact with the  
patient.  The first contact, is when the truck driver is paid an extra 100  
dollars to deliver, unbox and bring the wheelchair into the house and then 
leave  with signed paperwork.  Often the enduser much perform some kinds of  
assembly or use a family member to finish the job.  Welcome to the world of  
the Internet Provider.  This is done dozens of times a day for both  
wheelchairs, scooters and liftchairs used for medical purpose, and paid for by  
CMS.  
When there is a problem, the Internet Providers tell the customer to  
contact the manufacturers.  It is really a sad situation that you are well  
insulated from seeing.
 
Best Wishes
 
 
In a message dated 10/30/2009 2:49:36 P.M. Central Daylight Time,  
[email protected] writes:

 
Interesting question . . . I wouldn't know because we don't do it that way. 
 We have all of our clients come in for their evals  
and they are  seen by a real live OT and PT, along with the vendor.  I 
can't imagine  doing such an eval over the phone - way too many details that 
need to be seen  and touched.  We don't even usually let the vendor deliver the 
chair  after we've spec'd it out - we want folks to come back so OT, PT and 
the  vendor can all be there to fit and adjust things.  It is amazing how 
many  things come to light at that session  .. . 
 
Sue


 
____________________________________
 From: [email protected] [mailto:[email protected]]  
Sent: Friday, October 30, 2009 2:00 PM
To: Berres, Susan  J *HS; [email protected]
Subject: Re: [QUAD-L] Money  handling



Thanks Sue,
 
Now I have a question for you.  How can Internet providers sell an  PWD 
(wheelchair) to a CMS client and perform the necessary OT evaluation over  the 
phone before shipping a wheelchair to them and then get paid by CMS.   This 
happens every day....
 
Best Wishes
W
 
 
In a message dated 10/30/2009 12:54:36 P.M. Central Daylight Time,  
[email protected] writes:

Thanks  for all the helpful thoughts on handling money!
 
Somebody  commented that they thought they teach this (to OTs) in school - 
yup, they  do, of course, but over my 26 years in practice I have always 
found that I  get more and better ideas from folks living the issues than from 
any OT or  any book.
 
I also  find that the people I'm working with will often accept an idea 
better from  someone in a similar situation than from me, so lists like this 
are very  helpful.  I've printed off all the suggestions and will hand them to 
 him this afternoon.
 
Very  grateful for your willingness to share!
Sue  Berres,  OTR/L




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