Does your client qualify for a power wheelchair?

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Does your client qualify for a power wheelchair?

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The coverage criteria for power wheelchairs has changed drastically in recent times and Mobility Solutions wants to help you to understand these changes. In order to determine if a power wheelchair is right for your client, you may use the following information as a guide to document the Medicare requirements.


Important


  • Your client must have an office visit with you to discuss the need for the Power Mobility Device (PMD).
Important
  • You may bill Medicare for this visit - CPT Code: G0372 in addition to your office visit.

* * All documentation must be in your normal office note * *


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Step One:
  • Document the client's primary complaint regarding the PMD and why a walker or a manual wheelchair will not accommodate the client's mobility needs within their home environment.
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Step Two:
  • Document that you are recommending a PMD to perform Mobility-Related Activities of Daily Living (MRADL).
    • Examples include: toileting, grooming, eating, etc.
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Step Three:
  • Refer the client to an independent PT/OT for a complete mobility evaluation.
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Step Four:
  • Write a separate prescription for the PT/OT evaluation.
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Step Five:
  • Fax all of the above information to Mobility Solutions at 727-375-2113 or toll free 1-855-329-2674.
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