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Funding

Can I get this paid for?

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

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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.

Can I get this paid for?

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

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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.

Can I get this paid for?

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

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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.

Can I get this paid for?

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

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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.

Andria

Dynamic Seating and Medicare

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Is it possible to get funding for Dynamic Seating components through Medicare? What about funding for clients who are on both Medicare and State Medicaid? To get the answers, I contacted my friend Andria Pritchett, Executive Director of Clinical Education for Numotion.

Cost Benefit Analysis

Dynamic Seating: a cost benefit analysis

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Whenever I recommend complex rehab equipment for a client, I need to be aware of the cost of my recommendations. Why? One reason is that my documentation must often include why something less costly will not meet the client’s needs. I often hear from team members who are considering Dynamic Seating interventions but are concerned about the cost of these components and if the equipment is justified, as a result.
Dynamic Seating has many clinical benefits for wheelchair users and those benefits are our primary justification. From there, I do believe we can look at the cost-benefit analysis and find additional justifications.

Dynamic Seating Reimbursement Graphic

Learning from the 2018 Dynamic Seating Funding Survey

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In the Fall of 2018, a survey was widely distributed through several list serves and numerous emails. The survey was created and distributed by Seating Dynamics with the goal of obtaining information regarding funding of Dynamic Seating components, without bias to any one manufacturer’s products. In this blog, we will summarize key results and the implications for Dynamic Seating provision.

Comfort vs. Pain in Funding Documentation

Comfort vs. Pain in Funding Documentation

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If I go to the doctor for any reason, someone on staff always asks if I am in pain and, if so, what level of pain I’m in. Pain is a big deal. Beginning in the 1990’s, increased attention was given to pain and it was even dubbed the ‘fifth vital sign.”