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by: Liz Beaulieu - Friday, May 15, 2009

AAHomecare's Rehab and Assistive Technology Council (RATC) submitted comments to the DME MAC medical directors this week, asking them to drop their new billing policy for wheelchair repairs. Under the policy, which went into effect April 1, providers must bill for repairs using standardized labor times. For example: With each allowed unit of service representing 15 minutes of slabor, they must now bill only two units to repair or replace a battery on any power wheelchair.

The policy has resulted in an "almost 50% reduction in coverage for labor from previous levels," according to the RATC.

In the letter, the RATC takes the medical directors to task for not putting out the policy for public comment. It also charges that the policy is a coverage determination, not a payment determination.

We'll have more in our NewsWire on Monday.

Liz Beaulieu

by: Liz Beaulieu - Wednesday, May 13, 2009

It may be long, at 339 pages, but I'd imagine the "Industry Profile on Wheeled Mobility" recently published by the University of Buffalo is a must read for rehab providers. In five chapters, it details "funding and legislation, standards, accessible public transportation, wheelchair transportation safety, along with an interpretive overview." Two additional chapters cover market demographics and a comparative analysis of consumer perspectives.

You'll recall that the industry is working with University of Buffalo and Georgia Tech University to compile a broad study of the power mobility market. This profile is a separate effort.

Liz Beaulieu

by: Liz Beaulieu - Wednesday, May 6, 2009

Five times more people are living with spinal cord injuries than doctors thought, according to a report released in April. About 1.3 million Americans are living with the condition. Overall, 5.5 million Americans are living with some degree of paralysis due to a variety of neurological problems—everything from multiple sclerosis to strokes—according to the report authored by Anthony Cahill, a disability specialist at the University of New Mexico.

Possible reasons for this population, until now, being largely hidden: Cahill suggests that less extensive injuries have often gone uncounted—“They’re not all Christopher Reeves,” he told The Associated Press—and people are living longer with paralysis.

With advice from the Centers for Disease Control and Prevention, Cahill surveyed 33,000 U.S. households to measure how many people are living with some form of paralysis.

The Christopher and Dana Reeve Foundation plans to use the findings to push for health policy changes. One of its targets: Insurance policies that forbid $400 air cushions for wheelchairs until a patient suffers a skin ulcer that can require a $75,000 hospital stay.

For more information on the University of New Mexico's Center for Development and Disability, go here.

Liz Beaulieu

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