Category: Wheelchairs

Beneficiary Upgrade and Advanced Beneficiary Notice (ABN)

By Kim Turner, RN – Clinical Consultant An upgrade is an item with features that go beyond what is medically necessary. DME upgrades involve situations in which the upgraded item or component has a different HCPCS code than the item that will be covered by Medicare. An option/accessory that is beneficial primarily in allowing the

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Do’s and Don’ts: Amending a signed and dated Legal Document

By: Nancy Conant, Clinical Consultant Are you finding yourself challenged explaining how to properly amend the record to a therapist or practitioner, particularly when the document has been previously signed? DO The proper way to amend a Licensed Certified Medical Professional Specialty Evaluation and Face to Face Mobility Examination is to strictly adhere to CMS’s

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Prior Authorization Condition of Payment for K0856 and K0861

By: Kim Turner, RN – Clinical Consultant CMS has announced that two items of durable medical equipment will be subject to required prior authorization beginning with dates of service/delivery March 20, 2017 for the following durable medical equipment: K0856: Power wheelchair, group 3 standard., single power option, sling/solid seat/back, patient weight capacity up to and

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