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Warning! Avoid treating your staff because of the boundary issues involved.

I occasionally feel sorry for a staff member and offer very short 6 week

treatment plans with definite ending dates. Still I would say that I would

not recommend it as it is a legal sinkhole.

Willard Bertrand

Ethical Question

Is it ethical or legal if an employee is injured and has insurance and wants

you to bill it for treating them?

Anglen

OregonDCs rules:

1. Keep correspondence professional; the purpose of the listserve is to

foster communication and collegiality. No personal attacks on listserve

members will be tolerated.

2. Always sign your e-mails with your first and last name.

3. The listserve is not secure; your e-mail could end up anywhere. However,

it is against the rules of the listserve to copy, print, forward, or

otherwise distribute correspondence written by another member without his or

her consent, unless all personal identifiers have been removed.

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Hi ,

I can't tell you for certain about the legality in AZ, but I am quite

certain that it is legal in OR (any present or past Board members or

personnel please speak up if I am wrong). With regard to ethics; most docs

offer treatment to their staff at no cost, however, this is a limited

benefit as it has a monetary value to the employee. In other words, a

plastic surgeon may offer the occasional look in the tonsils for staff but

is under no obligation to do a face lift because of it. Likewise, a

chiropractic staff member who you have been willing to adjust once or twice

a month at no charge as an employee benefit is not entitled to be adjusted 3

times per week also at no charge it he or she has been injured. The value of

the perks and benefits that you convey to an employee are discretionary.

D Freeman

Mailing address: 1230 Liberty Street NE

Salem, Oregon 97303

ph 503 586-0127

cell 503 871-0715

Ethical Question

Is it ethical or legal if an employee is injured and has insurance and wants

you to bill it for treating them?

Anglen

OregonDCs rules:

1. Keep correspondence professional; the purpose of the listserve is to

foster communication and collegiality. No personal attacks on listserve

members will be tolerated.

2. Always sign your e-mails with your first and last name.

3. The listserve is not secure; your e-mail could end up anywhere. However,

it is against the rules of the listserve to copy, print, forward, or

otherwise distribute correspondence written by another member without his or

her consent, unless all personal identifiers have been removed.

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Is it ethical?..that depends on your ethics. If you treat them rationally, then it is ethical.

Is it legal? Yes. But you can't offer free care and then magically start billing just when there is insurance coverage.

J. , DC

Springbrook Chiropractic

& Natural Health Center

1015 N. Springbrook Rd.

Newberg, OR 97132

503-538-0618

www.springbrookclinic.com

www.HealthyNewberg.com

SANITAS INNATUS EST

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Just my opinion, :

While it's probably legal, It could be edgy on ethical ground. Frinstance,

the employee can be at a disadvantage to critique your treatment or its

results for rear of their job. The insurance company, of course, will

question the ethics of billing for services provided to an employee --- are

they really medically necessary and reasonable?, etc, etc.

Better to send the employee to your peer down the street.

Art

Ethical Question

Is it ethical or legal if an employee is injured and has insurance and wants

you to bill it for treating them?

Anglen

OregonDCs rules:

1. Keep correspondence professional; the purpose of the listserve is to

foster communication and collegiality. No personal attacks on listserve

members will be tolerated.

2. Always sign your e-mails with your first and last name.

3. The listserve is not secure; your e-mail could end up anywhere. However,

it is against the rules of the listserve to copy, print, forward, or

otherwise distribute correspondence written by another member without his or

her consent, unless all personal identifiers have been removed.

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Share on other sites

I believe this is also true in Washington. I do not know of any specific

proscription against treating your own employee for a condition that you

would treat any other individual for, and billing an insurance carrier in

the same way that you would bill anyone else. If all medical personnel were

expected to get free unlimited care, then there would be no reason for DC's,

MD's RN's etc. to buy health insurance. Not really the case.

Treating your employee does have possible conflicts of interest built in,

however. What if you think as a DC that she should only work half time (or

find a different type of job), because prolonged sitting aggravates her

disc, but as an employer, you think she should work overtime to fix that

nasty collection problem you have?

Roy

--

Roy Steinberg DC DABCO

Steinberg Consulting Services Inc.

14136 NE 32nd Place

Bellevue WA 98007

425-883-8783: voice

425-556-0616: fax

> Hi ,

> I can't tell you for certain about the legality in AZ, but I am quite

> certain that it is legal in OR (any present or past Board members or

> personnel please speak up if I am wrong). With regard to ethics; most docs

> offer treatment to their staff at no cost, however, this is a limited

> benefit as it has a monetary value to the employee. In other words, a

> plastic surgeon may offer the occasional look in the tonsils for staff but

> is under no obligation to do a face lift because of it. Likewise, a

> chiropractic staff member who you have been willing to adjust once or twice

> a month at no charge as an employee benefit is not entitled to be adjusted 3

> times per week also at no charge it he or she has been injured. The value of

> the perks and benefits that you convey to an employee are discretionary.

>

> D Freeman

> Mailing address: 1230 Liberty Street NE

> Salem, Oregon 97303

> ph 503 586-0127

> cell 503 871-0715

>

>

>

> Ethical Question

>

>

> Is it ethical or legal if an employee is injured and has insurance and wants

> you to bill it for treating them?

>

> Anglen

>

>

> OregonDCs rules:

> 1. Keep correspondence professional; the purpose of the listserve is to

> foster communication and collegiality. No personal attacks on listserve

> members will be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere. However,

> it is against the rules of the listserve to copy, print, forward, or

> otherwise distribute correspondence written by another member without his or

> her consent, unless all personal identifiers have been removed.

>

>

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While I believe that it is perfectly ethical to treat staff, I also agree

with Art and Willard that in the case of a disgruntled former female

employee it could lead to a whole lotta trouble, particularly with

allegations of sexual misconduct. Those allegations are a lot more easily

made when the doc has been alone in a room with his hands on a staff

member's derriere (Logan basic) or breasts (MFTPs in the pecs).

D Freeman

Mailing address: 1230 Liberty Street NE

Salem, Oregon 97303

ph 503 586-0127

cell 503 871-0715

Ethical Question

Is it ethical or legal if an employee is injured and has insurance and wants

you to bill it for treating them?

Anglen

OregonDCs rules:

1. Keep correspondence professional; the purpose of the listserve is to

foster communication and collegiality. No personal attacks on listserve

members will be tolerated.

2. Always sign your e-mails with your first and last name.

3. The listserve is not secure; your e-mail could end up anywhere. However,

it is against the rules of the listserve to copy, print, forward, or

otherwise distribute correspondence written by another member without his or

her consent, unless all personal identifiers have been removed.

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Share on other sites

While playing defensive has its merits, my staff and I are more like family.

I want the best for them and they want the best for me. If their health

concern is within my area of expertise, then I have no qualms treating them.

Am I unusual or are the others out there like me? jk

M. Kalb MS DC

The Wellness Chiropractor and Health Coach

www.DrKalb.com 541.488.3001/888.488.3001

Ethical Question

>

> Is it ethical or legal if an employee is injured and has insurance and

wants

>

> you to bill it for treating them?

>

> Anglen

>

>

> OregonDCs rules:

> 1. Keep correspondence professional; the purpose of the listserve is to

> foster communication and collegiality. No personal attacks on listserve

> members will be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere.

However,

> it is against the rules of the listserve to copy, print, forward, or

> otherwise distribute correspondence written by another member without his

or

> her consent, unless all personal identifiers have been removed.

>

>

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I treat my staff and keep chart notes. I charge according to the service

provided and bill insurance the same as any other pilgrim.

On several occasions I have referred out due to the nature of the condition.

Never been a problem.

J. Pedersen DC

Ethical Question

> >

> > Is it ethical or legal if an employee is injured and has insurance and

> wants

> >

> > you to bill it for treating them?

> >

> > Anglen

> >

> >

> > OregonDCs rules:

> > 1. Keep correspondence professional; the purpose of the listserve is to

> > foster communication and collegiality. No personal attacks on listserve

> > members will be tolerated.

> > 2. Always sign your e-mails with your first and last name.

> > 3. The listserve is not secure; your e-mail could end up anywhere.

> However,

> > it is against the rules of the listserve to copy, print, forward, or

> > otherwise distribute correspondence written by another member without

his

> or

> > her consent, unless all personal identifiers have been removed.

> >

> >

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I'm pretty much in that same dilemma, . Until this discussion, thinking

of NOT treating the staff would have been unheard of.....OF COURSE I want my

staff at their prime...they are my front desk/initial image/best ( & paid)

advertisers/support props etc., etc., etc. They NEED to know what I do so

well. Sunny

Ethical Question

> >

> > Is it ethical or legal if an employee is injured and has insurance and

> wants

> >

> > you to bill it for treating them?

> >

> > Anglen

> >

> >

> > OregonDCs rules:

> > 1. Keep correspondence professional; the purpose of the listserve is to

> > foster communication and collegiality. No personal attacks on listserve

> > members will be tolerated.

> > 2. Always sign your e-mails with your first and last name.

> > 3. The listserve is not secure; your e-mail could end up anywhere.

> However,

> > it is against the rules of the listserve to copy, print, forward, or

> > otherwise distribute correspondence written by another member without

> > his

> or

> > her consent, unless all personal identifiers have been removed.

> >

> >

Link to comment
Share on other sites

Yes, it can happen. Sunny

Ethical Question

> > >

> > > Is it ethical or legal if an employee is injured and has insurance and

> > wants

> > >

> > > you to bill it for treating them?

> > >

> > > Anglen

> > >

> > >

> > > OregonDCs rules:

> > > 1. Keep correspondence professional; the purpose of the listserve is

> > > to

> > > foster communication and collegiality. No personal attacks on

> > > listserve

> > > members will be tolerated.

> > > 2. Always sign your e-mails with your first and last name.

> > > 3. The listserve is not secure; your e-mail could end up anywhere.

> > However,

> > > it is against the rules of the listserve to copy, print, forward, or

> > > otherwise distribute correspondence written by another member without

> his

> > or

> > > her consent, unless all personal identifiers have been removed.

> > >

> > >

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Share on other sites

Of course, we all love and probably treat our staff gratis. But

when a third party enters the payment picture, that's when the situation is edgy.

Art

Btw I should proof before sending. My original post should have

been FEAR vs. REAR. Oh well!

================================================

Re: Ethical Question

I'm pretty much in that same dilemma, . Until this

discussion, thinking

of NOT treating the staff would have been unheard of.....OF COURSE I

want my

staff at their prime...they are my front desk/initial image/best ( &

paid)

advertisers/support props etc., etc., etc. They NEED to know what

I do so

well. Sunny

Ethical Question

> >

> > Is it ethical or legal if an employee is injured and has

insurance and

> wants

> >

> > you to bill it for treating them?

> >

> > Anglen

> >

> >

> > OregonDCs rules:

> > 1. Keep correspondence professional; the purpose of the

listserve is to

> > foster communication and collegiality. No personal attacks on

listserve

> > members will be tolerated.

> > 2. Always sign your e-mails with your first and last name.

> > 3. The listserve is not secure; your e-mail could end up

anywhere.

> However,

> > it is against the rules of the listserve to copy, print,

forward, or

> > otherwise distribute correspondence written by another member

without

> > his

> or

> > her consent, unless all personal identifiers have been

removed.

> >

> >

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