This 90 minute course will highlight the patient presentation and justifications that are necessary to support documentation for complex rehabilitation technology (CRT). When documenting for CRT, it is necessary to understand the components of the clinical evaluation as they relate to equipment, using those findings to translate into seating and mobility goals as well as the language needed to justify specific equipment. Documentation can be a formal Letter of Medical Necessity (LMN) or simply and added section to your existing documentation but specific elements will be required regardless of the format. This course will review key criteria to include when justifying the need for ultralight weight manual wheelchairs, power assist devices, power wheelchairs with power seat functions as well as several seating and positioning components. Examples will be provided so that the learner becomes an insurance reviewer, given the opportunity to determine if the documentation provided would be appropriate to support the approval of the recommended equipment. By the end of the course, clinicians will have a better understanding of how to write an effective LMN, critically appraise their documentation, understand components of writing an appeal, as well resources to help support their documentation.
Translating evaluation findings into a plan of care for equipment provision
Manual Wheelchair Evaluation
Power Wheelchair Evaluation with review of research-based utilization of power seat functions
Seating and Positioning Evaluation and documentation requirements
Review of Documentation Examples for Approval or Denial
Summary / Statement of communication with instructor for all questions and discussion points
This program is designed for Occupational Therapists, Occupational Therapy Assistants, Physical Therapists, Physical Therapist Assistants, Assistive Technology Professionals, and Medical Suppliers/Providers
Jennith Bernstein, PT, DPT, ATP: Jennith has been a practicing PT for 13 years and spent the last 10 years at a model SCI center (Shepherd Center) in Atlanta, Georgia. Jennith completed her Masters in Physical Therapy at North Georgia College & State University and return to complete her transitional DPT at University of Texas Medical Branch in 2014. While at Shepherd Center, Jennith, initiated a “Seating Champion” program to improve the inpatient and day program clinicians understanding of complex seating, pressure management and skin protection as well as research reviews, advanced programming and adjustments. She was also part of a center wide multidisciplinary focus group for reduction of hospital acquired skin breakdown. Jennith has served as a volunteer teacher at the Universidad Mariano Galvez in Guatemala, instructing spinal cord injury curriculum as well as seating and mobility. Jennith has presented at national and international conferences such as RESNA, ISS, Expo Ortopedica, and the APTA NEXT conference. Jennith joined Permobil as a Clinical Education Manager in 2016.