Wheelchairs are generally used by individuals who have conditions that do not allow them to achieve independent movement. This webinar will address compliance and documentation for coverage of standard manual wheelchairs, power mobility devices, and mobility assistance equipment. Topics to be covered include general patient coverage criteria, provider requirements, supplier requirements, and the role of non-physician providers on the rehabilitation team.
Time: June 8, 6 - 7 pm CDT
- Improper Payments & PMDs
- Operation Wheeler Dealer
- Medicare changes to wheelchair coding (HCPCS codes), coverage (the NCD on MAE), and payment (competitive bidding and application of payment rates to rural areas)
- PMD Overview – What is considered a PMD
- General Patient Coverage Criteria for PMDs
- Patient concerns with access to appropriate Mobility Assistance Equipment
- Provider Requirements
- Conduct a face-to-face examination of the patient
- Document the examination
- Write a prescription (known as the 7-element order) for the PMD
- The role of OT and PT in fulfilling the CMS requirements
- Supplier Requirements
- A written prescription (7-element order)
- Supporting documentation of the patient’s face-to-face examination
- A detailed product description
- A home assessment documented in a written report
- Proof of delivery (POD)
- Peter Thomas, JD is a principal with Powers Pyles Sutter & Verville located in Washington, DC. He has a federal legislative, regulatory and Medicare appeals practice. He represents AAPM&R before Congress and the federal agencies. He and his law firm have extensive experience with Medicare audits and appeals and he has personal experience with lower limb prostheses.
- Kurtis Hoppe, MD is Assistant Professor of Physical Medicine and Rehabilitation at Mayo Clinic in Rochester, Minnesota. He is a member of the Reimbursement and Policy Review Committee and a Past President of AAPM&R.