ISS 2017 Program
 

 


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IC18: Updating Referral Sources on Medicare Wheelchair Requirements

Medicare has identified physicians and non-physician practitioners (NPPs) (physician assistants, nurse practitioners, clinical nurse specialists) as responsible parties for initiating, ordering and documenting medical necessity for manual and power wheelchairs. Yet, physicians and NPPs often receive little education and training about these technologies and policies. The Clinician Task Force has created educational materials and will present a model for information dissemination to referral sources. Participants will leave with action steps to help disseminate information.

This session is supported by a company with reported interest in the sale of Assistive Technology products. The content has been reviewed by ISS personnel and determined to be appropriate for continuing education purposes.

 

Learning Objectives:

Upon completion of this session, attendees will be able to;

 

Faculty:

Laura J. Cohen, PT, PhD, ATP/SMS
Rehab & Tech Consultants, LLC
Arlington, Virginia
United States

Laura Cohen, PhD, PT, ATP/SMS, RESNA Fellow, Principal for Rehabilitation & Technology Consultants in Arlington, VA. She is the Executive Director of the Clinician Task Force a national group of seating and mobility clinicians working to influence Medicare and Medicaid coding, coverage, and payment policies for complex rehabilitation technology. A recognized thought leader, Dr Cohen provides counsel, leadership, and clinical expertise to clients about medical necessity, benefit integrity, policy development and compliance.

Cathy Carver, PT, ATP/SMS
UAB/SPAIN Rehab Center
Hoover, Alabama
United States

Cathy Carver PT, ATP/SMS graduated with a BS in PT from University of Mississippi (1996). She received MS in PT from the University of Tennessee (2000). She has been working in outpatient Wheelchair/Seating Clinic since 2003. She has been teaching courses and lectures/labs in wheelchairs and seating since 2007. She is a reviewer for Alabama Medicaid for custom DME. She is a member of the APTA(Neuro Section), RESNA and is on the Clinician Task Force.

 

References:

    1. Levinson, D. R. (2009). Medicare Power Wheelchair Claims Frequently Did Not Meet Documentation Requirements. Retrieved from www.oig.hhs.gov.
    2. Department of Health and Human Services. (2015). Power Mobility Devices: Complying with Documentation & Coverage Requirements. Retrieved from www.cms.gov.
    3. Department of Health and Human Services. (2015). Evaluation and Management Services. Retrieved from www.cms.gov.



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