My post op PT was a SCAM

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CaryF
Veteran Member


Date Joined Nov 2007
Total Posts : 505
   Posted 5/28/2008 9:34 AM (GMT -7)   
Hi All,
 
Thanks for your well wishes and concerns. I am recovering well - have good days & bad but am faring better than I thought I would. I'm mostly bored but reading & watching lots of Lifetime and can finally put the phone to my ear with brace on for some short chats with friends and family. My spirits are good and my inital pain I've suffered for years has greatly diminished. I plan to take it real slow & easy & follw Dr. orders to the tee. 
 
about my PT. A home health care service (not associated with my Dr. or hospital) called (while I was in the hospital) and  told me I was qualified under a supplemental insurance program for home health care (I thought what an excellent service!). The very next day after I was released from hospital (Sun. & overtime) a nurse came out to check my vitals - did nothing else. Then the next day a PT came over to take some measurements and  develop a PT plan & schedule. Turns out I qualified for 10 visits. I felt oddly pressured to sign up for these treatments and called my surgeon's nurse. She said I was to do NO PT - gave me strict instructions and never heard of the home health care outfit that was "treating" me. I cancelled all further appts. with them and the very next day the PT showed up again at my front door. I thought it was going to take slamming the door in her face to get her to leave.
 
I really feel like a dupe - but am back on schedule & taking it very easy following my "real" treatment program.
 
Don't let this happen to any of you! Always check with surgeon about follow up care & do not let anyone take advantage of you when you are most vulnerable. I believed because I was contacted by this outfit in the hospital they were legit. They are a legit service - just sleazy ambulance chasers.
I feel horrible for the elderly or those most vulnerable that are getting suckered by this kind of service. Can't wait for those co-pay invoices! 
 
Back on track,
Cary   

Cookie122
Regular Member


Date Joined Apr 2008
Total Posts : 61
   Posted 5/28/2008 10:12 AM (GMT -7)   
Wow I've never heard of anything like that! What legal chioces do you have against them? I can imagine a few since if they were to treat you with false doctor approval it could cause way more harm than good. Those type of people need to be stopped. Let us know what happens.

Lindaloo
Veteran Member


Date Joined Sep 2006
Total Posts : 1713
   Posted 5/28/2008 10:49 AM (GMT -7)   
Cary,

I am a retired home health administrator and pretty much know the ins and outs of home care physical therpy. One of the doctors on your case must have written for physical therapy to begin in the home. That's how they get their referrals. All you have to do is review the chart by asking someone in admisistration to tell you who ordered home care, more to the point, the physical therapy. The ball could have been dropped by the agency itself, by including home physical therapy, but they should not have done this. Calling the agency and verifying if this was done is possible too. Remember you have recourses. You can report the agency if you find out they are responsible for writing the home care order without verifying with the physician. Then you call the number in your packet that outlines how to report an agency and give them a call. They will investigate without using your name.

Hope that helps.

Linda
Moderator Chronic Pain
 
Believe in yourself.  Be kind to fellow humans and animals.  Take time to smell the flowers and the coffee.
And by all means, when you are down, ask me for help.  I will be there.
 
Linda


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 5/28/2008 11:58 AM (GMT -7)   
Hi, Cary,
I'd really encourage you to follow Linda's instructions. If this outfit isn't legit, and is writing their own orders the hospital should know about it to prevent more abuse. It sounds very suspicious to me from a medical standpoint that any legit PT would think you'd be ready for PT right after a fusion. They should be worried about liability. And sending someone to your home on a Sunday to charge you OT - ridiculous. I had some wonderful home health nurses from our community agency come after my fusion because I was having some problems, but they didn't order any PT. They first contacted my doc's office to OK them coming and all they were doing is checking vitals and my incision. I'd also not be quick to pay the bill from this outfit. There are many channels where you can report them, and I suspect once they see you're not going to just sit by and take it they may be more than willing to renegotiate charges. They can also be reported to your insurance company, who has to credential them (an approval process for all health care providers) in order for them to be a provider.

Hey, this will give you something to do while you're healing!

PaLady

I'd also add while you're complaining to your insurance company - and you should do that fairly soon - make sure you get back the "visits" used. If you've only got 10, they likely used 1 or 2 (or more - they may be charging you for when they showed up at your door), and then when you really need the PT, you''ll be short on visits. I'd put it in writing as well as call your insurance company. They may take a look at this outfit and especially if they have other complaints, they can decide whether to keep them as an approved provider.

Post Edited (PAlady) : 5/28/2008 2:30:59 PM (GMT-6)


CaryF
Veteran Member


Date Joined Nov 2007
Total Posts : 505
   Posted 5/29/2008 6:44 AM (GMT -7)   

I did some folow up & home health care nursing "as needed" was orderded by my Dr. but NOT PT. My surgeon's nurse said this has happened before and the PT arm of this organization can be overzealous and should always check with the surgeon first (but doesn't always). My nurse is taking care of the complaint and ensuring I get my 2 PTs back for future use when I need them. I could have done a fair amount of damage had I tried the exercises that were recomended by the PT.

I think we're all straightened out now. The outside agency used the umbrella of home health cares services to include PT which they shouldn't have.

Glad I checked with Dr. so quickly.

Best,

Cary

 


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13461
   Posted 5/29/2008 10:26 AM (GMT -7)   
You should report them to the Better Business Bureau. Susie


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 5/29/2008 1:59 PM (GMT -7)   
Cary,
That's great it's being taken care of so quickly, and that the nurse will get your visits back. Most important is that you didn't do those exercises and risk failure of the fusion and other injury! That should have been more than obvious to this outfit, and that's what makes me wonder about their credibility - and liabiliy. What would happen if you had followed their instructions? I'm sorry, but I wouldn't just let this go as overzealous. To me it's malpractice. But you may not feel like pushing it any further.

Rest easy now! And I'd get another home health outfit if I were you. They can be helpful with suggestions. Just one thing that my community nurses helped with was the post-surgical constipation (sorry for graphics, but it' true). They gave me ideas that the hospital didn't. So a visit from a good home health nurse might be beneficial. Souns like Lindaloo could add more to this.

PaLady
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