That is how it is supposed to work. It is supposed to take a certification process including diagnoses and some history to back it up usually if that is the first time. For the average doctor seeing patients in a private practice it is considerable work for the doctor and staff. It sounds like it was an in house system to me. Fraud does need to be contained. My aunt needed one as she was unable to walk but a couple of steps the last dozen or so years of her life. The family bought her one because she didn't medically qualify for it through Medicare. Go figure.
Before anyone goes on the rant warpath about the family using Medicare they were also dealing with two quadriplegic adults in the family living in the house as well. My aunt till her health prevented her doing so was their caregivers.
Sometimes life just don't work out the way you planned. Most blue collar workers and I'd say over 50% white collar workers are one catastrophic illness away from Medicare. When it hits the first thing you loose besides mobility or ability to work is your income. The second thing is insurance.M
I've been down that road twice first with my wife who became quadriplegic and 10 years later my own disabilities hit. We had to bankrupt on her illness. Mine thankfully was a disability that didn't run up hospital or doctor bills we couldn't cover.
That is the part where I disagreed with bankruptcy reform. There should have been a catastrophic illness clause written in. I watched my white collar B.I.L. get wiped several times over my uninsurable sister. He got laid off and they lost everything. He went bankrupt after the reforms hit. Afterward she had a stroke and another nearly $100K added. His last two years he lived they had healthcare insurance again through where he worked. When he passed it was COBRA Time till she was ruled widowed and disabled. Medicare just kicked in three months ago. Lucky for her he had purchased considerable life insurance that covered that period of time.