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RE: Deaf patient

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All, Ron Grices reply triggered a memory of a similar incident in my office. When A parent was bullying us to provide interpreter for a child, we encouraged them to seek care elsewhere at a interpreter staffed facility because we were by definition small business and exempt from the requirement. Even if the case is a "high paying" regulated PIP or WC case, there is simply no way you can afford an interpreter on a $52 98940 adjustment fee. In the past another way we handled this was to trade services with a different patient who is employed as an interpreter. We were pleased when the deaf patient requiring interpretive services resolved quickly.Fortunately this uncomfortable situation has not come up again. R Johansen D.C.,DABCOChiropractic Life Center12762 SE Stark StreetPortland Oregon 97233Voice 5032557746,Fax 5032550818-- "rongrice01" <rongrice@...> wrote:

. My son's girlfriend is a Sign Language Interpretor. She felt it was not your responsibility to pay for the interpretor, only if you have a certain number of employees, and it would not be a financial burden on you and your office.The patient's insurance should pay for an interpretor if they have chiropractic coverage. Don't let your lack of familiarity with this law give the patient or her mother the power to bully you into paying for this service yourself. The fact that your patient is deaf is not your fault or responsibility. You can call the local deaf society or the deaf school in Salem and they will give you all the information you need to explain this to your patient's mother. Grice, DCAlbany, OR

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In cases where PIP is involved, I have

seen doctors hire an licensed interpreter for office appointments and the

interpretor directly bills PIP. Dr. Madey’s office from Summit Orthopedics (Portland) does this all

the time for clients that only speak Spanish. PIP has paid the interpretor’s

bills. The office visits have not been for ER viists they have been for follow

up care and for surgery consultation visits. If this is an MVA you may want

to contact them and inform them that the services of person that is licensed in

sign language will be recruited to ensure proper communication between the

patient and doctor. Maybe ask if they can recommend an agency they directly

work with. It may worth a try

A. Bobadilla

Pickett Dummigan Aguilar LLP

621 SW on Street, Suite 900

Portland, OR 97205

Office: 503.223.7770

Fax: 503.227.2530

melissa@...

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By law, it is the responsibility to provide communication ability. And yes, it can come to a pretty penny. Discouraging that field of patients is now something this office does readily.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

From: rongrice@...Date: Fri, 28 Mar 2008 15:40:48 +0000Subject: Deaf patient

. My son's girlfriend is a Sign Language Interpretor. She felt it was not your responsibility to pay for the interpretor, only if you have a certain number of employees, and it would not be a financial burden on you and your office.The patient's insurance should pay for an interpretor if they have chiropractic coverage. Don't let your lack of familiarity with this law give the patient or her mother the power to bully you into paying for this service yourself. The fact that your patient is deaf is not your fault or responsibility. You can call the local deaf society or the deaf school in Salem and they will give you all the information you need to explain this to your patient's mother. Grice, DCAlbany, OR Watch “Cause Effect,” a show about real people making a real difference. Learn more.

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