Thursday, March 28, 2024

Re: patient solicitation

Joyce Perrone

The law on solicitation – specifically to Medicare recipients– is that
a company can not contact a beneficiary unless one of the following
applies:

1. The individual has given written permission to that company to
contact them concerning the furnishing of a Medicare covered item

2. That company has furnished a Medicare covered item to the individual
and is now contacting the patient to coordinate the delivery of the item

3. If the contact concerns the furnishing of a medicare covered item
other than a covered item already furnished to the individual, the
company had to furnish at least one covered item to the patient during
the 15 month period preceding the date on which that company makes such
a contact.

The law is VERY specific and marketing to medicare patients when these
criteria are not met is totally illegal.
Again – this is specific to MEDICARE covered patients- and would spread
to any of the carriers supplying healthcare to the medicare population.

Joyce J. Perrone
DeLaTorre O&P, Inc & PROMISE Consulting
300 Alpha Drive Pittsburgh, PA 15238
p: 412-599-1112 cell: 412-849-7750

From: Tony Barr
Subject: Re: Patient Solicitation

Karen,
Dan Sheret asked me to forward the below in response to your request for
feedback. See below: Tony Barr Barr Foundation www.oandp.com/barr
www.ertlreconstruction.com

From: dan [mailto:[email protected]]
Sent: Monday, October 03, 2005 5:49 PM
To: ‘Tony Barr’
Subject: RE: [OANDP-L] Patient Solicitation

Dear Karen,
I had similar situation with another rather large Prosthetic Company. My
research lead me to understand that my name and address was being sold
as it were by the ACA to their advertisers. I contacted the ACA and it
was explained to me that each year when a membership renewal notice was
sent out I had the option of asking that my name not be sent to such
companies for solicitation. But I had to request it. I was told that the
all mailing were done by a blind 3rd party mailing system so that the
company, (in your case
Hanger) did not have the personal information so no Hippa rules were
broken. I think this may be how your clients are receiving information.
If they want they can contact the ACA and ask that their name not be
sent for other solicitation. I did so and the mailing as you have gotten
stopped. Kind Regards Dan Sheret a below knee Ertl amputee
www.aump-cycle.com

—–Original Message—–
From: Orthotics and Prosthetics List [mailto:[email protected]] On
Behalf Of Karen Schebesta, Office Manager
Sent: Thursday, September 29, 2005 9:55 AM
To: [email protected]
Subject: [OANDP-L] Patient Solicitation

Good Morning!

Recently, we have had quite a few patients come in with a “mailing” from
Hangar regarding their prosthesis and a free evaluation and a DVD at one
of their local offices. Its amazing as most of our patients have been
our long term patients and have no knowledge of or any previous dealings
with them.

The owner of our company, Mort Levy, CPO, has asked that I inquire if
anyone else has heard of this, have seen the packet, and if their
patients have been getting this as well? Where is Hangar getting this
“list”?

We do not divulge any patient names to any of our suppliers, so this is
a mystery???

Any feedback would be appreciated.

Karen Schebesta

Karen A. Schebesta, CPC, RMF
Office Manager
Orthotic and Prosthetic Center
1228 Route 37 West
Toms River, NJ 08755
Tel. 732-341-9191
Fax 732-341-9222
[email protected]

——————————

End of OANDP-L Digest – 1 Oct 2005 to 3 Oct 2005 (#2005-186)
************************************************************

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