This is why a lot of the DME's are employing an OT now.
Lindaf
----- Original Message -----
From: [EMAIL PROTECTED]
To: [email protected]
Sent: Saturday, October 27, 2007 3:04 PM
Subject: Re: [QUAD-L] to all in wheelchairs
This is again (IMHO) is due to the many, many years of abuse to the system.
Keith/34/C4-5/NJ
You will learn in time that obtaining a new chair these days is a lot more
difficult today than it was just 5 years ago. Especially if CMS is paying for
that chair. First, is the order from a licensed doctor in rehab medicine, to
see an Occupational Therapist for a complete evaluation based on medical needs.
The
evaluation goes back to the doctor for another order to the DME. The DME
will then determine what is best for you, with your help and assistance and
submit those findings to Gov Insurance to determine if they will be paid for
the perfect chair. Sometimes they get a yes and other times they get a no.
Submittals have to be adjusted and justifications have to be properly coded and
submitted.
The process could take 6 months to a year. Maybe longer. Sometimes
shorter.
Ask around and evaluate each answer, based on its user and needs.
Best Wishes
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