What is the right thing to do?
t-barr at t-barr.com
Sat Jul 28 14:46:40 PDT 2001
Bottom line -better recourse for dissatisfied consumers of O&P services in states that have manatory licensure laws i.e.
Not to mention a better incentative for providers to reconsider providing proper O&P benefits!
Properly trained practitioners will more likely to recieve more sources of reimbursement in states that are regulated.
Consumers and practitioners should advocate for regulation in their respective states.
Now THAT, is the right thing to do!!! Right on Al!
Fraud and abuse are a problems in the O&P industry, however most incidents do
not meet the $25,000 threshold to justify investigation and prosecution.
The majority of the fraud I have seen is just that, fraud. People who take payment and never deliver a product or service, or who bill for components and services never delivered, or knowingly providing products to persons not able to use them.
>>> Finally a plug for my pet peeve, LICENSURE. If you live in a state with
licensure you have recourse through the license board. Besides establishing
a minimum level of education and training to achieve licensure the board
develops standards of practice.>>
There is also recourse in all the states through the American Board for
Certification in Orthotics and Prosthetics if the prosthetist is board
certified like you and I.
ABC has no teeth. The most they can do is to censure you. This doesn't keep you from practicing nor does it get the patient satisfaction. This is the shortcoming of all "voluntary" self-credentialling organizations. Licensure, on the other hand, can keep you from practicing in that state and/or impose fines collectable through the courts.
Al Pike, CP
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