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Hi everyone.....

People misrepresenting themselves as PTs & OTs is very common atleast in the

Detroit area. I used to work there back in the mid 90's and I ran into scores

of aides who represented themselves as PT even to Doctors and other

professionals. No one bothered to check. The problem is worse now I believe.

Aides performed evals and treatments with absolutely no supervision from a PT.

Employers preferred aides over RPTs for fiscal reasons(reimbursement was the

same as long as the notes were signed by an RPT). 2 or 3 companies jointly

hired one RPT to sit and blindly sign evals and progress notes (very risky but

obviously a very viable mode of operation). Eventually RPTs were practically

forced to move out or settle for very low renumeration. The problem is that

there is no one here to enforce the stringent laws of our practice. There is

absolutely no way of knowing if the aide was supervised or not, or even if the

aide even knows the therapist. Its not easy to report these individuals or

employers because of loopholes in the system and very clever lawers.

Scary and illegal is putting it lightly!

Leonard Bernard RPT.

leo@...

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