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Medical Forum / General / Dentistry / November 2004One question I was always afraid to ask my dentist.
If your dentist gives you a referral to another dentist for lets say a root canal, gum surgery or dental implant does the referring dentist get a referral fee or cash kick back for this referral? Mike Lynn >If your dentist gives you a referral to another dentist > for lets say a root canal, gum surgery or dental implant > does the referring dentist get a referral fee or cash kick > back for this referral? > > Mike Lynn I am not a dentist, but my understanding of this is that there is goodwill gained by the dentist from the specialist, but not a kickback for customer thing. Maybe a nice gift annually for the referrals. In fact, it would be most profitable for the dentist to do the procedure theirself, but they think that you will be better served in the hands of a specialist. Adenosine >>If your dentist gives you a referral to another dentist >> for lets say a root canal, gum surgery or dental implant [quoted text clipped - 11 lines] > >Adenosine Actually the gifts come from the specialists we do NOT refer to. They want to get our business. It is illegal for the specialist to kick any money back to the referring dentist. I have never heard of it happening. I suppose somewhere in this complex world that could have happened from time to time, though. Basically, the dentist is responsible for the quality of care given by the specialist. If the GP refers to a specialist who is known to "mess up" from time to time, the GP can be help accountable (providing the GP knew the specialist was sub-par). What I did was search the local area for which specialists were around, then started comparing their work during the first few years of my practice. It does not take long to find out who does the absolute best work in town. I chose the best of each and refuse to refer to anyone else. If a patient does not like my referral for whatever reason, I explain that I have a responsibility to send them to the office which will do the best job for them. If they want to go somewhere else, it is their responsibility to find another office. .. Stephen Mancuso, D.D.S. Troy, Michigan, USA Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting. >Basically, the dentist is responsible for the quality of care given by >the specialist. that is just not true. ask an attorney. if a general dentist has reason to believe that the specialist he refers to is incomptent, he can be held accountable but that is a horse of a different color from being held responsible in all cases as your first comment seems to say. Charlie Ruff, DMD Specialist in Orthodontics Diplomate American Board of Orthodontics Hi Charlie, You worded that much better than I did. Thanks.  Signature+=_-+=_-+=_-+=_-+=_-+=_-+=_-+=_- Stephen Mancuso, D.D.S. Troy, Michigan USA .dr.steve@man.cuso.d.d.s.com. ~~~~~~~~~~~~~~~~~~~ > >>Basically, the dentist is responsible for the quality of care given by [quoted text clipped - 12 lines] > Specialist in Orthodontics > Diplomate American Board of Orthodontics >It is illegal for the specialist to kick any money back to the >referring dentist. I have never heard of it happening. I suppose >somewhere in this complex world that could have happened from time to >time, though. STEVE, un-uh. Unless its a Medicare or Medicaid patient ....... These above are known (and can be searched for) as Stark Laws and Stark II Laws ....... What you describe is UNETHICAL as specified in the ADA literature .... Joel >>If your dentist gives you a referral to another dentist >> for lets say a root canal, gum surgery or dental implant [quoted text clipped - 6 lines] >goodwill gained by the dentist from the specialist, but not a kickback >for customer thing. REPLY Yet around here, docs bring in a specialist to do the root canal in the generalist's office ........ for a cut! Joel > Maybe a nice gift annually for the referrals. In >fact, it would be most profitable for the dentist to do the procedure >theirself, but they think that you will be better served in the hands >of a specialist. > >Adenosine That would potentially confuse the lay-person. The "cut" Joel refers to is a percentage of the billing to cover overhead and profit for the total office. Not a kick-back. Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > >>>If your dentist gives you a referral to another dentist [quoted text clipped - 21 lines] >> >>Adenosine >That would potentially confuse the lay-person. The "cut" Joel refers to is >a percentage of the billing to cover overhead and profit for the total >office. Not a kick-back.\ I am sure we agree....... its all how we describe it. A kick back requires wearing boots I guess ....... Joel > If your dentist gives you a referral to another dentist > for lets say a root canal, gum surgery or dental implant > does the referring dentist get a referral fee or cash kick > back for this referral? > > Mike Lynn If one is offered or accepted you can lose your dental license. carabelli >> If your dentist gives you a referral to another dentist >> for lets say a root canal, gum surgery or dental implant [quoted text clipped - 6 lines] > >carabelli Can you give us an internet reference to the law? I am not questioning this, merely curious. Joel > >> If your dentist gives you a referral to another dentist > >> for lets say a root canal, gum surgery or dental implant [quoted text clipped - 12 lines] > > Joel Sure - here you go- From: http://www.accesskansas.org/kdb/statutes.html 65-1436. Grounds for refusal to issue license or for action against license of dentist or dental hygienist; disciplinary action by board; notice and hearing; professionally incompetent defined; physical or mental examination. (a) The Kansas dental board may refuse to issue the license provided for in this act, or may take any of the actions with respect to any dental or dental hygiene license as set forth in subsection (b), whenever it is established, after notice and opportunity for hearing in accordance with the provisions of the Kansas administrative procedure act, that any applicant for a dental or dental hygiene license or any licensed dentist or dental hygienist practicing in the state of Kansas has:............................ (7) engaged in the division of fees, or agreed to split or divide the fee received for dental service with any person for bringing or referring a patient without the knowledge of the patient or the patient's legal representative, except the division of fees between dentists practicing in a partnership and sharing professional fees, or in case of one licensed dentist employing another; >> Can you give us an internet reference to the law? >> >> I am not questioning this, merely curious. >> >> Joel *********************** REPLY You got it nailed. Your state is way ahead of ours. Joel ************************ >Sure - here you go- > [quoted text clipped - 19 lines] >partnership and sharing professional fees, or in case of one licensed >dentist employing another; > >> Can you give us an internet reference to the law? > >> > >> I am not questioning this, merely curious. > >> > >> Joel without the knowledge of the patient or the patient's legal >representative - Apparently you can if the patient is aware of the arrangement. Still not ethical IMO. carabelli > If your dentist gives you a referral to another dentist > for lets say a root canal, gum surgery or dental implant > does the referring dentist get a referral fee or cash kick > back for this referral? > > Mike Lynn No. I refer to certain specialists because I know and trust their work and feel comfortable with them treating my patients. Sure, I might get a nice bottle of Lancer's or Boone's Farm Apple Wine around the holidays, but any decent dentist has other motivation. T >Sure, I might get a nice bottle of >Lancer's or Boone's Farm Apple Wine around the holidays, but any decent dentist >has other motivation. > >T Nothing wrong with Boone's Farm. I was drinking it just yesterday. Adenosine > Nothing wrong with Boone's Farm. I was drinking it just yesterday. > > Adenosine Oh sure, if they're out of Thunderbird some Boone's farm will do...just watch your fingers on those sharp metal tabs from the screw cap. (;^P) T >> Nothing wrong with Boone's Farm. I was drinking it just yesterday. >> [quoted text clipped - 4 lines] > >T ONly if they are out of GIQ .. Stephen Mancuso, D.D.S. Troy, Michigan, USA Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting. >> Nothing wrong with Boone's Farm. I was drinking it just yesterday. >> [quoted text clipped - 4 lines] > >T I thought it came in the gallon jugs with the cork! >>> Nothing wrong with Boone's Farm. I was drinking it just yesterday. >>> [quoted text clipped - 6 lines] > >I thought it came in the gallon jugs with the cork! You have it confused with "Night Train". -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >>>> Nothing wrong with Boone's Farm. I was drinking it just yesterday. >>>> [quoted text clipped - 8 lines] >> >You have it confused with "Night Train". I wasn't aware you could get Night Train in gallon jugs. Who could possibly drink an entire gallon of it? Even MY stomach gets a bit upset thinking about downing an entire gallon of that stuff. It's not a good thing to compare with "The American Classic", or Night Train because both those things are made of wine. I've only seen one bottle of Boone's Farm that claimed to be a wine product. The rest were a malt beverage of some sort. It's not my fault the store was out of my favorite malt liquor. Adenosine I don't get anything when I refer except peace of mind. Please inform me of how to get something from the specialists. I would love to know. jwn dds > If your dentist gives you a referral to another dentist > for lets say a root canal, gum surgery or dental implant > does the referring dentist get a referral fee or cash kick > back for this referral? > > Mike Lynn >If your dentist gives you a referral to another dentist > for lets say a root canal, gum surgery or dental implant > does the referring dentist get a referral fee or cash kick > back for this referral? > > Mike Lynn NOPE, although sometimes I REAAALLLLY wonder ..... > If your dentist gives you a referral to another dentist > for lets say a root canal, gum surgery or dental implant > does the referring dentist get a referral fee or cash kick > back for this referral? > > Mike Lynn Paid referral, or "fee splitting", whether to a specialist or a general dentist, is illegal in NY State. I'm sure most or all states have similar statutes on their books. Steve >> If your dentist gives you a referral to another dentist >> for lets say a root canal, gum surgery or dental implant [quoted text clipped - 8 lines] > >Steve Pennsylvania .... NOPE! Then again we have drywall contractors running dental offices ..... Joel >> If your dentist gives you a referral to another dentist >> for lets say a root canal, gum surgery or dental implant [quoted text clipped - 8 lines] > >Steve Agreed. It's illegal in DC too. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com |
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