Tuesday, April 8, 2014

CMS Reinforces That PTs and OTs can Perform Power Wheelchair Examinations

Dan Ciolek

In the April 2014 Medicare Quarterly Provider Compliance Newsletter, CMS noted that rehab professionals may perform and document evaluations that become part of the documentation necessary to support Medicare coverage of group 2 power wheelchairs for beneficiary use after they return home.

On page 10 of the newsletter, CMS states:
“The physician may refer the beneficiary to a licensed/certified medical professional (LCMP), such as a physical therapist (PT) or occupational therapist (OT), who has experience and training in mobility evaluations to perform part of the face-to-face examination. This person may have no financial relationship with the supplier.”
The booklet provides information on coverage and documentation requirements, as well as links to resources that SNF PTs and OTs can refer to when asked to perform part of the face-to-face examination prior to a beneficiary’s discharge to home.

Contact Dan Ciolek at dciolek@ahca.org if you have questions or comments.

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