tci Medicare Compliance & Reimbursement - 2005 Issue 3

Coverage: Wheelchair Coverage Rolls Out Of Dark Ages

Change would dump bed- or chair-confined standard in favor of functional ambulation. A ray of light may be ready to shine through the hazy fog of wheelchair coverage.The Centers for Medicare & Medicaid Services convened Interagency Wheelchair Workgroup has issued its recommendations for changes to Medicare's power wheelchair coverage guidance, and they include dumping the old "bed- or chair-confined" standard in favor of a new, functionally based ambulation standard."Functional ambulation means the ability to walk, with or without the aid of appropriate assistive devices (such as prostheses, orthoses, canes or walkers), safely and sufficiently to carry out...

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