oh. my. God.

MS Gray Man wrote:Fax them a response that says, "Please resend prescription making the following change... Dr. Terrence Moore to choose patient choice. Please resend when that is complete."

If that doesn't work ask if Dr. Terrence Moore is paying for your supplies or you are... If the good Dr. wants to buy your stuff for you then the choice should be his. Since I doubt that is happening, well... that should be obvious.

pandatx wrote:Because I have to see him for my 30 day visit with him anyway......

pandatx wrote:JNK, that might an alternative thought with another doctor but the fact they originally specified the s9 Esacape Auto and I had to fight for the better machine tells me differently. He had the brick machine specified and then "his choice" written next to all the other equipment with arrows pointing to both areas.

NotLazyJustTired wrote:. . . her doc IS her DME. IMHO, that creates a conflict of interest. . . .

According to Jeffrey S. Baird, JD, the ABSM [American Board of Sleep Medicine] requested that the OIG [Office of Inspector General ] publish a “safe harbor” to the Medicare anti-kickback statute that would allow physicians (certified by ABSM) to diagnose obstructive sleep apnea for Medicare patients—and to also sell PAP devices to patients. “The reasoning behind the request is that allowing physicians to do this would improve the continuum (and quality) of care for OSA patients,” says Baird. “The OIG declined on the basis that safe harbors only pertain to the anti-kickback statute and not to the Stark physician self-referral statute. The ABSM request pertained to Stark, and not the anti-kickback statute. “Stark prohibits a physician from selling most DME—including PAP devices—to a Medicare patient unless a Stark exception is met,” continues Baird. “If the ABSM desires for certified physicians to sell PAP devices to Medicare patients (diagnosed by the physicians), then the ABSM would need to seek an exception to Stark.” As to the rationale of allowing physicians to sell PAP devices to Medicare patients (diagnosed by the physicians), Baird believes the practice could lead to abuse. “There is a risk that a physician would order a PAP device not because the patient truly needs it, but because the physician will profit from the sale of the device,” he says. “It is a ‘win’ for the DME industry that the OIG did not act on the ABSM's request.” For sleep laboratories, nothing changes as a result of the OIG report. “If a sleep lab is not owned by physicians, then the lab can sell PAP devices to Medicare and commercial patients,” explains Baird. “If the sleep lab is owned by physicians, then the lab can sell PAP devices to commercial patients, unless state law says otherwise. However, it cannot sell PAP devices to Medicare patients who qualify for the device at the lab.”--http://www.medtrade.com/news/respirator ... ils?id=564

jencat824 wrote:

khauser wrote:

jencat824 wrote:I would white out what the dr wrote in about 'what he wants' & present the rx to the DME that way.

Jen

LOL.

Somewhat illegal in a big way, though.

OOPS, sorry for suggesting that, it just made me furious to see a Dr. treating a patient like that. It's your medical records, you are paying for the equipment (or your ins is) so why does the Dr. have to have his way? You are right, altering a written rx is illegal.
Jen