Entries by Nancy Perlich, COTA, ATP

NCART Releases Standing Device Funding Guide

With over hundreds of research studies on standing and weight bearing you would think that both private and public healthcare payer sources would fund Standing Devices without a second thought. Unfortunately, in today’s ever shrinking insurance coverage and payment arena that is not the case. In fact, decreasing coverage and payment for standing devices is […]

CELA 2012 – Continuing Education and Legislative Advocacy

In previous years our emphasis during CELA visits to our members of Congress was to educate them on what is Complex Rehab Technology. Complex power wheelchairs, highly configurable manual wheelchairs, adaptive seating and positioning systems and other specialized equipment (such as standing frames and gait trainers) are considered “Complex Rehab Technology” or CRT.

Who’s Responsible When Funding is Denied?

A while back I spoke with a nurse case manager about the need for a stander for her client. After a lengthy discussion about the individual’s medical justification; the nurse case manager informed me that standers turned into coat racks, and thus this payer program should not cover them. Further into my conversation with the […]

Fueled by Advocacy – CELA 2011

Shane was denied power assist wheels for his manual wheelchair in Minnesota. Five different consumers cannot gain appropriate funding for their standers from private insurance in New York. Elizabeth’s power wheelchair was down coded to a less expensive wheelchair due to Medicare’s “in the home” rule. CMS (Center for Medicare and Medicaid) says that competitive […]

Funding for Standing Frames (Presentation)

Part of my job at Altimate Medical Inc. is to help educate people on the process of purchasing a standing frame and writing a letter of justification for a stander. Below is a PowerPoint presentation on Funding & Documentation for Standing Frames that was recently presented to clinicians and complex rehab suppliers.