Tag: standers
Stakeholders eye 'new tool' for standers
April 24, 2015Tracy Orzel
NASHVILLE - After getting Tennessee's Medicaid program, TennCare, to pay for elevated seating and standing systems on power wheelchairs, Darren Jernigan is setting his sights on other states.The items were on a list of DME products TennCare refused to cover, a violation of CMS's DeSario letter, which prohibits such exclusion lists.“We (got them covered) using a new approach,” said Darren Jernigan, director of government affairs at Permobil and a member of the Tennessee House of Representatives....
Mobility providers stand ground on standers
July 24, 2013Elizabeth Deprey
NCART in June released a funding guide to help providers who are having a harder and harder time getting approved and paid for standing equipment.The guide outlines how to do a comprehensive evaluation, how to document a person's medical need, and what steps to take if a claim is denied.“This equipment should be covered,” said Don Clayback, executive director of NCART. “If it does get denied, it helps if you've done all the steps and documented medical need.”Medicare doesn't...
Medicaid relents on stander accessories
July 22, 2010Liz Beaulieu, Editor
ATLANTA - It seems like, even when rehab providers here make progress, it's often a good-news, bad-news scenario.
The good news: Rehab providers recently convinced the state's Medicaid program to resume paying for stander accessories. The bad news: Medicaid is in the middle of switching to a new claims processor and, until that's over, its hands are tied.
"It might be a year before providers are able to bill for accessories again," said Laura Cohen, co-coordinator of The Clinician Task Force, which...