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do doctors get paid for referrals to Specialists USA payment buyer to a physician or Health Care institution solely for referral of a patient is fee splitting and is unethical physicians may not accept any payment of any kind from any source for referring a patient other than distributions of a health care organizations revenues is permitted by law can a doctor refuse a referral unfortunately your GP can refuse to refer you to a specialist if they do not believe that specialist treatment is necessary to solve the problem if they think that you do not need to see a specialist then they do not have to refer you to one this can be said for both Private health care and Medical Care on the NHS how do doctors decide who to refer you to specifically the study found that pcps consider criteria such as patient access and physician to physician communication when deciding referrals meanwhile Specialists tended to base their referral decisions other patients satisfaction with the new provider wh