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

In 2022, CMS published a proposed fee schedule for Dynamic Backs, and many people answered the call to provide comments on this important topic. The proposed fee schedule was based on comparing a Dynamic Back to a shock absorber. Unfortunately, CMS decided not to receive comments right before a public meeting on this topic, stating that a final decision had already been made. We have been periodically sharing comments that were submitted so these voices can be heard. 

Mike Osborn, ATP, CRTS is owner and founder of Alliance Rehab & Medical Equipment in Missouri and has been very involved in our field for a long time, including being past president of NRRTS. He shared his perspective in the following letter to CMS:

“Dynamic Backs have become a vital piece of equipment in the Complex Rehab Technology industry for those individuals that have increased tone and spasms.  For years we had multiple scenarios where back canes and hardware would be broken secondary to the intense stress related to patient tone and spasms. This led to repair or replacement over and over again.  The Dynamic Back has given suppliers the ability to provide optimal postural support and reduce the high frequency of repairs in the process.  We have found the Dynamic Back, when appropriate, can increase the quality of life for the individual using the equipment because they do not have to be in bed or use an inappropriate seating system while waiting for repairs to be done to their equipment.”

“We have found the Dynamic Back, when appropriate, can increase the quality of life for the individual using the equipment because they do not have to be in bed or use an inappropriate seating system while waiting for repairs to be done to their equipment.” – Mike Osborn

“The Dynamic Back changes the way an individual is able to be positioned properly in their seating system and maintains an optimal pelvic position.  This directly allows for improved posture and the reduction of pressure distributed on the seated surface.  This will result in a reduction in repairs and as well as potential decubitus ulcers.”  

Thanks, Mike for your thoughtful comments and for all you do for our industry!