Clinical Ethics: What Should the Clinician Do? As managed care continues to sweep the nation, we are faced with challenges like never before. Productivity has become the gold standard in order to provide stability on the job. Questions arise regarding practice standards. How we interpret them is dependent on our own moral and ethical behavior. The ... Article
Article  |   July 01, 1999
Clinical Ethics: What Should the Clinician Do?
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Clinical Ethics
Article   |   July 01, 1999
Clinical Ethics: What Should the Clinician Do?
SIG 11 Perspectives on Administration and Supervision, July 1999, Vol. 9, 6-8. doi:10.1044/aas9.2.6
SIG 11 Perspectives on Administration and Supervision, July 1999, Vol. 9, 6-8. doi:10.1044/aas9.2.6
As managed care continues to sweep the nation, we are faced with challenges like never before. Productivity has become the gold standard in order to provide stability on the job. Questions arise regarding practice standards. How we interpret them is dependent on our own moral and ethical behavior.
The following scenario was sent to three clinicians for their input.
Mary, a speech-language pathologist, works in an outpatient setting seeing children and adults.
Most of her clients have insurance under managed care contracts. She gets approximately 12 hours/sessions per month for Brand X insurance. Her dilemma is to evaluate the client, write a report, and provide therapy within the 12-hour rule. At the end of the month, a progress report needs to be written documenting functional outcomes in order to justify continued authorization of therapy. She is frustrated each month because of the overtime (approximately 2 hours) needed to generate the report. She feels that cutting the patient back 2 hours is unfair as the patient holds on to each session as if it is gold.
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