Orthopedic surgeons should take a judicial view of their scope of practice

Cameron · Oct 30, 2009

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NewsBot · Oct 31, 2009

Re: Interesting point ?

Here is some detail:
Orthopedic surgeons should take a judicial view of their scope of practice
A controversial case that spanned years of litigation underscores the need to define what services surgeons can offer and how they can bill for them.

In April, the Supreme Court of Kentucky rendered a decision in a case captioned Dubin Orthopedic Center, P.S.C v. Commonwealth of Kentucky, State Board of Physical Therapy — a case showing that turf battles that can sometimes arise between various health care providers, and can lead to litigation.

In the Dubin case, the court held that nothing in the relevant state statutes prohibits an orthopedic surgeon from providing physical therapy (PT) services, and to bill for such, using the appropriate CPT codes. This apparent victory for the orthopedic surgeon litigant took a rather convoluted pathway through the court system, as described below.
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Arguments about the scope of practice can cut both ways, however. Consider this: Did the Supreme Court of Kentucky arrive at a fair and equitable result from the standpoint of physical therapists in that state? How about from the viewpoint of orthopedic surgeons? Could orthopedic surgeons in other states argue that under the Dubin ruling, they, too, should be able to offer PT services by athletic trainers, as well as advertise and bill for such services?

Let us expand the Dubin ruling and consider a different scenario: Do you think a board of podiatric surgeons in some state could argue that Dubin permits podiatry practices to advertise and perform knee arthroscopic surgery, and bill for such? If not, does the ruling at least empower podiatrists to buy a MRI scanner, perform knee MRI scans and bill for the MRI scans, assuming the scans are read by a qualified radiologist?

Where should a court draw the line in such scope-of-practice arguments among medical professionals?
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Orthopedic surgeons should take a judicial view of their scope of practice

Cameron Well-Known Member

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Orthopedic surgeons should take a judicial view of their scope of practice

Cameron Well-Known Member

NewsBot The Admin that posts the news.

MSK symptoms in orthopedic surgeons

Podiatrists had larger digital footprint vs. foot and ankle orthopedic surgeons

Do any Orthopedic Surgeons in Sydney or Canberra perform interposition arthroplasty procedures for h

Patients are casualties in an Ontario turf war between chiropodists, orthopedic surgeons and podiatr

Training Program for Orthopedic Residents in Forefoot Osteotomy Skills:

Race and Insurance Status Association With Receiving Orthopedic Surgeon-Prescribed Foot Orthoses

Claims in orthopedic foot/ankle surgery, how can they help to improve quality of care?

Share This Page

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