The Americans with Disabilities Act and Deaf Patients

Interpreting … the Interpreter

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QUERY:

I understand that as doctors we need to accommodate the disabled and follow the ADA of 1990. In the case of hearing-impaired patients, it is our cost to have an interpreter present.

But, for example, is the doctor able to dictate what interpreter will be used or does the patient decide who will be interpreting? As far as the charge for the services of the interpreter, how is the appropriate fee set?

It takes about twenty minutes for us to see a hearing-impaired patient. We are told from the interpreting service that it is their policy to charge us for a minimum of two hours.

Any thoughts?

Assessment

Link:  http://www.ada.gov/pubs/ada.htm

Conclusion

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4 Responses

  1. More on Deaf Patients

    According to PM News #4,358, the ADA does not specify who is to choose the interpreter, so you are free to negotiate an acceptable arrangement. If you have more than one hearing-impaired patient, it makes sense to schedule all such patients in a two-hour block of time.

    Hope R. Hetico RN MHA

    Like

  2. Deaf Patients

    This post is an important educational article. It’s great for any conscious minded doctor. Thanks again.

    Dr. Aliza Britney
    Podiatrist NYC

    Like

  3. ADA and Deaf Patients

    Yes, you have to provide communication services to your hearing-impaired patients if they request it. You will be charged for their drive time to and from your office at about $65/hr, so the 2-hour minimum is about right.

    Recently, a rheumatologist objected after 15 visits from one of his patients and is now facing big fines. It’s not the patient’s fault, but it does seem unfair that the law doesn’t require the insurance company to at least cover the cost of these services.

    Ann Miller RN MHA
    via Dr. Greg Mangum, DPM
    Houston, TX, Gregorymangum@aol.com
    PM News #4,360

    Like

  4. VA Podiatry Group Agrees to Settlement in ADA Case

    Dana J. Boente, U.S. Attorney for the Eastern District of Virginia, announced yesterday a settlement under the Americans with Disabilities Act (ADA) with Associated Foot & Ankle Centers of Northern Virginia, P.C. (AFAC), to ensure that it provides appropriate auxiliary aids and services to individuals who are deaf or hard of hearing when providing medical services. The complainant specifically alleged that AFAC failed to provide a sign language interpreter for multiple medical appointments and provided an individual who is not a qualified interpreter during other appointments.

    The settlement agreement requires AFAC to pay $14,000 to the aggrieved individual and a $1,000 civil penalty to the United States; provide training to the podiatry practice’s staff on the requirements of the ADA; and adopt specific policies and procedures to ensure that auxiliary aids and services are provided promptly to patients and companions who are deaf or hard of hearing.

    Source: Targeted News Service [10/18/14]
    [via Ann Miller RN MHA]

    Like

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