Medicare Reimbursement for Wheelchair Seat Cushions and Backs: Coverage Criteria and Documentation

$15.00

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SKU

course-75-2068

COURSE DESCRIPTION: Coverage criteria for seating and wheeled mobility solutions are definitive, precise and, for the most part, driven by a...

Education Level = Beginner, Credit = 0.2 CEU/CCU

AOTA Category: Professional Issues; CEU(s)/Contact Hour(s): 0.2 AOTA CEUs/2 Contact Hours

State PT Approval: This course has been approved by the Maryland State Board of Physical Therapy Examiners for .2 CEUs. Approval expires 10/20/25. Please be sure to complete this course before this date.

Instructional Method: Recorded on-line asynchronous lecture with supporting video demonstration

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Coverage criteria for seating and wheeled mobility solutions are definitive, precise and, for the most part, driven by a list of very specific ICD-10 diagnoses codes. These very specific criteria must be met for a client to qualify for a wheelchair cushion, back support and/or positioning accessories. It is critical for clinicians and equipment suppliers involved in the prescription and provision of these products to be familiar with eligibility and documentation requirements to ensure that each individual receives the most appropriate seating solutions. This two-hour narrated online course will review the Medicare coverage criteria for each type of wheelchair cushion and back support. It will also provide an overview of the documentation elements required for seating products and facilitate critical thinking regarding how to arrive at, present and report the information.

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Course Outline

Minutes	Topic
5	Introduction and review of objectives
10	The impact of diagnosis-driven coverage criteria
30	Medicare coverage criteria for the HCPCS codes for wheelchair seating
10	Examples of clinical findings that meet or do not meet coverage criteria
10	Overview of clinical documentation for wheelchair seating
10	Objective exam results that support the need for wheelchair seating
10	Writing good justifications for wheelchair seating; the "should's" and "should not's"
5	Where to find Medicare coverage criteria and documentation requirements for wheelchair seating

Who Enrolls

This program is designed for Occupational Therapists, Occupational Therapy Assistants, Physical Therapists, Physical Therapy Assistants, Assistive Technology Professionals, and Medical Equipment Suppliers/Providers.

Instructor Information

Leslie Wade, MOT, OTR/L, ATP received her Masters of Occupational Therapy from Virginia Commonwealth University in 2002. In 2022 she received her Assistive Technology Professional certification and is a member of RESNA. Leslie has been an invited speaker for several local conferences as well as for the 38th International Seating Symposium. She practiced occupational therapy as a full-time clinician from graduation to February 2019. In 2005 she followed her passion and specialized as a primary therapist for patients with spinal cord injuries. Through this she has learned the invaluable need for proper seating and positioning. Starting in 2009, Leslie served as the VCU Health Safe Patient Handling and Mobility Champion. This opportunity provided her with extensive experience in program development, education, mentoring, and leadership. Leslie has provided countless in-services for colleagues, as well as teach at the Occupational Therapy, Physical Therapy, and Nursing programs at VCU. Leslie has participated in hospital wide interdisciplinary initiatives focused on early mobilization, bariatrics, patient falls/safety, and spinal cord injury. Leslie joined Permobil as a Regional Clinical Education Manager in February of 2019.