Monday, February 16, 2015
12 Doc 2 basic argument
My argument has to do with a large issue that is currently undergoing a decison in the physical therapy world called direct access. Direct access is the ability for a patient to be able to go directly to a physical therapist for a consulatation instead of having to get a script from a doctor first. Proponents of direct access, such as the majority of the physical therapy community, say that is a win-win situation for them and their patients. Direct access is allowed at the state government level but is still having problems receiving national backing. In states that it is allowed, physical therapists say it is a benefit because it allows them to see a wider rnage of patients, who are now not restricted to getting a refferal from a doctor, which is an added expense that is unnecessary. A liscensed physical therapist should be mkore than capable to assess a person's level of care they need. In some instances nothing more than physical therapy is needed and this is where it is helpful to the patient to not have to spend extra money. In the event that the physical therapist sees that apatient will need more than the care they provide, they can then refer them to a doctor, so it still ensures that patients are getting the best treatment that they can.
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I think that if the patient knows well enough what type of specialty treatment is necessary for what ails them they should be able to go directly to that specialist for care without having to get the "OK" from their primary. At most if it is an issue that the primary is aware of and knows specialty care is needed, they could make suggestions as to who is best in the field and the patient takes it from there. The 'middle man' is always in the mix with his hand out asking for that copay only for the patient to walk out needing to see someone else.
ReplyDeleteinsurance companies allows patients to go to any office for 21 consecutive days without a referral from a doctor after that point they can question medical necessity and if they don’t have an MD stating physical therapy in necessary it’s hard for the patient to win that battle with insurance
ReplyDeletePaient referrals have caused disputes between insurance companies and the patient. They tend to disagree more often that not. Looking forward to possibly have a chance to read your document.
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