I hate to contradict you, Wheel, but any licensed physician can write the 
prescription if the OT or PT writes the letter of evaluation and medical 
necessity well enough.  I got my letter from an OT in Feb. '07, my prescription 
from my doctor's PA in Mar. '07 and my chair was delivered April 13, '07.  IMO 
the DME provider makes all the difference by double-checking everything; making 
sure every "i" is dotted, every "t" is crossed and everything is coded 
properly.  I chose the Quantum 600 and it's been great.  I liked the center 
wheel drive because both my legs are anputated above-the-knee making my 
weight/balance cause a rear-wheel drive tip easily.  It also had the best 
options for me: Roho high-profile Quatro cushion, tilt, recline, etc.

Bill
C6 Incomplete since 7/20/68
Age 57
Leesburg, FL
Red ship crashes into blue ship - sailors marooned.
  ----- Original Message ----- 
  From: [EMAIL PROTECTED] 
  To: [EMAIL PROTECTED] ; [email protected] 
  Sent: Saturday, October 27, 2007 1:46 PM
  Subject: Re: [QUAD-L] to all in wheelchairs


  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





  In a message dated 10/27/2007 12:29:24 P.M. Central Daylight Time, [EMAIL 
PROTECTED] writes:
    The DME close by here has a wide selection of power wheelchairs. They have 
invacare, and jazzy and pride and might be able to get a quikie. My own 
wheelchair is an invacare TDX3. It has been a good chair but it is 4.5 years 
old with my butt in it almost everyday between 8 to 14 hours. A few signs of 
wear are becoming evident. I figure I'll get my new back replacement and 
batteries then get them started on a replacement. Unless Ohio has dictated the 
chairs shall last 7 years!

    My neighbor did put some cool leg armor on my chair so I can visit offices 
where they don't allow wheelchairs. (Like Medicaid)

    Is that the total choice open to medicare and medicaid patience?
    john






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