I just attended a seminar given by Andrea Stark yesterday, and she addressed this issue.
Per an FAQ, CMS has stated that "suppliers may contact a patient based on the receipt of a physician order, IF the patient had been made aware that a supplier will be contacting them regarding the prescribed DME".
The key is that the patient must understand their physician will contact a DME supplier on their behalf. Also, initial calls may only be made in relation to the prescribed item, and may NOT be used to solicit sales for other DME.
If a supplier calls a patient based solely on a physician order and the patient had no knowledge that their physician would even contact a supplier, the call would be considered unsolicited.
Suppliers may collect and maintain documentation from the physician showing that the patient is aware that they will be contacted; however, this is not a requirement.
Once again, CMS is making the supplier responsible for the behavior of the physician.
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