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 […]
Nancy Perlich, COTA, ATP
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Entries by Nancy Perlich, COTA, ATP
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.
To family, friends and acquaintances who are outside of the Complex Rehab Technology industry: For over 25 years, I have had the privilege to work in an industry that creates products that improve the lifestyles and livelihoods of those who are unable to stand or walk- simple things that many of us take for granted […]
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 […]
Who deserves to stand? A sixteen year old with cerebral palsy, a middle-aged male with a T7 Spinal cord injury, a seven year old with metabolic syndrome? They each sit in there wheelchair all day long and are at risk for many types of immobilization issues from contractures, pressure sores, digestion problems, and more. Most […]
Jeff told his DME (Durable Medical Equipment)/CRT (Complex Rehab Technology) supplier, “That’s crap! I will not accept a denial from my insurance company for the stander. I’ve got to have the stander at home to keep my leg range of motion. What can I do to fight their decision?”
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 […]
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.
Even if you do not have public or private insurance, there are many other ways to purchase a standing frame. Here is a list of funding possibilities for standing frames:
Recently, our staff was interviewed by the editors of Mobility Management magazine about the mechanics of standing for a person who uses a wheelchair. Here is some insight into standing, how it affects the body, and how standing for an able-bodied person compares to a person with a disability. You can also read the complete […]