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Durable Medical Equipment: Wheelchairs, Power Mobi ...
Resource: Durable Medical Equipment: Wheelchairs, ...
Resource: Durable Medical Equipment: Wheelchairs, Power Mobility Devices, and Hospital Beds - 2024
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Pdf Summary
This resource provides information on the qualifications and documentation requirements for standard wheelchairs, power mobility devices, and hospital beds covered by Medicare Part B. For Medicare to cover the cost of a wheelchair or power mobility device, criteria such as a written order from the treating provider, limited mobility, significant difficulty moving around the home, inability to complete daily activities of living even with assistance, independent use of the device, and ability to use the equipment in the home must be met. Additionally, a face-to-face exam should have been completed within six months prior to the order date. The documentation requirements for coverage of a standard wheelchair include identifying the chief complaint, describing mobility limitations and diagnoses, explaining why a cane, crutch, or walker cannot solve the problems, and detailing any necessary accessories. For coverage of a motorized wheelchair, the documentation is more extensive, including objective measurement of strength levels, pain levels, range of motion, ambulation pace and distance, oxygen saturation, balance and fall history, reasons for not using a cane or manual wheelchair, reasons for scooter inappropriateness, confirmation of the patient's physical and mental capacity to operate a motorized wheelchair, and improvement in mobility-related activities of daily living with a motorized wheelchair. In addition, pertinent patient information should be included. Medicare also reimburses for power mobility examinations. Regarding hospital bed coverage, a face-to-face visit with the provider is necessary, and Medicare covers 80% of the cost if the patient meets specific criteria related to medical conditions and bed positioning needs. The resource provides relevant sources for further information.
Keywords
qualifications
documentation requirements
standard wheelchairs
power mobility devices
hospital beds
Medicare Part B
written order
limited mobility
daily activities of living
independent use
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