Can I get this paid for? Part 4: Dynamic Headrest

Michelle L. Lange, OTR/L, ABDA, ATP/SMS

Our last blog provided suggested wording to be used in documentation to obtain successful funding for Dynamic Footrests. In the last of this series, we will look at specific wording for various applications of Dynamic Headrests.

These examples do not replace competent evaluation. Choose the wording that matches an individual’s specific needs and modify accordingly to reflect a specific client’s needs. I find it helpful to begin with a brief definition, as reviewers are often unfamiliar with this technology. For example:

“The Dynamic Headrest moves in response to client force and assists the client back to an upright starting position.”

The Single Axis Dynamic Headrest

1. For the client with a history of equipment breakage:

The Single Axis Dynamic Headrest moves posteriorly in response to client forces and then returns to a starting position. The Dynamic Headrest is recommended to absorb forces exerted by the client which have led to equipment breakage in the past and to prevent future breakage. The dynamic components absorb these excessive forces, protecting the wheelchair frame, seating system and hardware from breakage. Breakage may result in the client being unable to use their wheelchair and/or seating system until repairs are made.

or

For a client who does not have a history of equipment breakage, but has the potential to break equipment:

The Single Axis Dynamic Headrest moves posteriorly in response to client forces and then returns to a starting position. The Dynamic Headrest is recommended to absorb forces exerted by the client to prevent equipment breakage. The dynamic components absorb these excessive forces, protecting the wheelchair frame, seating system and hardware from breakage. Breakage may result in the client being unable to use their wheelchair and/or seating system until repairs are made.

2. For a client who requires a Dynamic Headrest to absorb extensor tone:

The Single Axis Dynamic Headrest moves posteriorly in response to client forces and then returns to a starting position. A Dynamic Headrest is recommended to absorb forces resulting from active client extensor tone. By absorbing and diffusing these forces, extensor tone can be decreased. Reducing extensor tone can increase function, sitting tolerance and conserve energy.

The Multi Axis Dynamic Headrest

1. For a client who requires a Dynamic Headrest to prevent equipment breakage:

  • For the client with a history of equipment breakage:

The Multi Axis Dynamic Headrest provides posteriorly and full lateral movement from midline (capturing rotational movements) in response to client forces and then returns to a starting position. The Dynamic Headrest is recommended to absorb forces exerted by the client which have led to equipment breakage in the past and to prevent future breakage. The dynamic components absorb these excessive forces, protecting the wheelchair frame, seating system and hardware from breakage. Breakage may result in the client being unable to use their wheelchair and/or seating system until repairs are made.

or

  • For a client who does not have a history of equipment breakage, but has the potential to break equipment:

The Multi Axis Dynamic Headrest moves posteriorly and full lateral movement from midline (capturing rotational movements) in response to client forces and then returns to a starting position. The Dynamic Headrest is recommended to absorb forces exerted by the client to prevent equipment breakage. The dynamic components absorb these excessive forces, protecting the wheelchair frame, seating system and hardware from breakage. Breakage may result in the client being unable to use their wheelchair and/or seating system until repairs are made.

2. For a client who requires a Dynamic Headrest to absorb extensor tone:

The Multi Axis Dynamic Headrest moves posteriorly and full lateral movement from midline (capturing rotational movements) in response to client forces and then returns to a starting position. A Dynamic Headrest is recommended to absorb forces resulting from active client extensor tone. By absorbing and diffusing these forces, extensor tone can be decreased. Reducing extensor tone can increase function, sitting tolerance and conserve energy.

As we wrap up this series of 4 Blogs on the topic of Funding Dynamic Seating, can you think of other justifications we forgot? Please add your suggestions in the Comments below! Thanks!

For a Downloadable version of all Dynamic Seating Sample Medical Justification Wording, click here.

Can I get this paid for? Part 3: Dynamic Footrests

Michelle L. Lange, OTR/L, ABDA, ATP/SMS

Our last blog provided suggested wording to be used in documentation to obtain successful funding for the Dynamic Rocker Back. In this blog, we will look at specific wording for various applications of the Dynamic Footrests.

These examples do not replace competent evaluation. Choose the wording that matches an individual’s specific needs and modify accordingly to reflect a specific client’s needs. I find it helpful to begin with a brief definition, as reviewers are often unfamiliar with this technology. For example:

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Can I get this paid for? Part 2: the DRBi

Michelle L. Lange, OTR/L, ABDA, ATP/SMS

Our last blog provided suggested general wording to be used in documentation to obtain successful funding for Dynamic Seating components. In this blog, we will look at more specific wording for various applications of the Dynamic Rocker Back Interface. The justifications we provide in a Letter of Medical Necessity will vary with the specific dynamic component as well as the individual reasons the client would benefit from this technology.

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Can I get this paid for? Part 1: general documentation guidelines

Michelle L. Lange, OTR/L, ABDA, ATP/SMS

I personally recommend Dynamic Seating components for the clients I work with, as well as provide education in this area of practice. One question that is often posed to me is, “Can I get this paid for?” My answer – “Yes!” Of course, funding varies by payer, coding, and the direction the wind is blowing. I find that clinicians are often unsure of how to justify the need for this equipment in their documentation. Documentation is key to getting funding approval and so I have compiled some suggested wording for you here. If you require further assistance with documentation, please contact Seating Dynamics or myself for help.

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