Now, basically under the Social Security Act section 1128A subsection A and 5, that is again, that's where you cannot give gifts or special things to a patient. They have rules for that. For example, you're not allowed to give more than something of value to a patient in $10 per quarter or $50 aggregate. Giving them free x-rays or exams definitely does not fall into that category. What I would say is you have to very careful when people are putting out these advertisements and all their different sales promotions that it says. It may be not applicable for work comp or auto because all states have different work comp laws or, for example, a Medicare. When you put a caveat on some of the marketing and that's what we teach in the seminars, you have to put your caveats there. Maybe not applicable for auto or Medicare or Medicaid or work comp. The other thing too which we haven't really even touched base of, one question that I tried to teach in every seminar that every patient, it doesn't matter if it's Medicare or not, you want to get a history update. One of the simple way that we tell the doctors and the staff in the seminars is to ask one question. Have you had any falls, accident, changes in condition or new medications? That's a good history but it's a simple question the staff can ask while they're taking the patient to the treatment room. The other thing is I love Medicare patients but we have to understand Medicare patients also have a very high incident of auto accidents so you have to be able to make sure that everything is consistent in the file because they're going to get records whether it be for the auto or the Medicare. I just had a patient come in one of my offices that they supplement their income, Medicare income, by delivering pizza for Dominos. Dominos is very big in Michigan. They own a lot of things but they require the patient use their own car. While this patient was using their car delivering Domino’s pizza supplementing their [inaudible 00:34:09], they were hit by a truck. Now, we have basically a work comp auto Medicare patient. It can get a little complicated but you want to do simple things like Dr. Sam said. One of the simple things is ask them every visit have they had any falls, accidents, changes in condition or new medications. Make sure you're not trying to induce the patient with free exams and free x- rays. If you are going to do some type of monetary reduction especially if you're going to have non-coverage services and you're going to give them a big discount, there better be some reason like some type of financial hardship because if you turn the magic prism and two weeks later that patient has a car accident, you're going to have to explain to the patient why, or to the insurance company why there's a difference in the fees. In other words, why you did this big discount for a Medicare patient until they had an auto accident then you went back. Again, your fee system has to be consistent and I'm sure that Dr. Sam is going to agree with that. I know that they teach that in their seminars. We teach it in our seminars. It's very important that the doctor understand again the rules. There unfortunately are new rules, new OIG opinions. New federal rules and you just have to be cognizant of what they are. You want to take simple steps because it's
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