I have worked on the administrative side of O&P practices for over 20 years. It is not a secret that certain physicians prefer to refer patients to specific O&P practices. There are many reasons why the physician may have a preference. It could be the location of the facility; perhaps there aren’t any other facilities in the area that the physician is familiar with. The facility may have a marketing strategy that inundates physicians with information and therefore gets the lion’s share of the referrals, or the physician could have developed a longstanding and satisfactory relationship with the facility.