IC10 – What’s the Latest? Medicare Documentation & Coverage Requirements

Program ID : IC10.2017
Webinar Length of Time: 1.25 Hour

Link to view the lecture presentation:

Presenters

Claudia Amortegui, MBA
The Orion Consulting Group, Inc.
Denver, Colorado
United States

Claudia is president of The Orion Consulting Group, specializing in the reimbursement of rehab equipment. She has been consulting for over 18 years, but first worked on all sides of the industry: with Medicare, a manufacturer, and a provider. She's been published numerous times in national publications, and her clients consist of manufacturers, providers, referrals and funding sources. This extensive and diverse experience makes Claudia uniquely qualified to assist people in understanding the reimbursement process.

Note: Faculty for this activity have been required to disclose all relationships with any proprietary entity producing health care goods or services, with the exemption of nonprofit or government organizations and non-healthcare related companies.

* Presenter has disclosed the following conflict(s): I have financial interests with the following proprietary entity or entities producing health care goods or services as indicated below:

Sunrise Medical
ROHO
Permobil
TiLite
Convaid

Description

2016 was a tumultuous year for Medicare reimbursement of DME. There were cuts in reimbursement, updated policies, and changes in claim submission. Where do these changes leave us today when it comes to ordering and providing the proper wheelchair and making sure the suppliers are properly paid?

Are clients having to rent their high level CRT power wheelchair? Do they have to rent the separate options? Is a therapist required to complete an evaluation and write an LMN? Is my client required to use a specific supplier? What is the time frame to have all documentation completed? These are just some of the questions that will be addressed during the session.

This session will provide the latest Medicare updates as they relate to complex rehab technology (CRT). We will also discuss the most current coverage policies and documentation requirements. Whether you are a clinician ordering equipment or a supplier providing equipment, you must be up to date with all the details to ensure the best service for your client.

*Special Note*

CMS updated the PMD PA information in the days following this presentation, and a new program went into effect on March 20, 2017.

Learning Objectives

Upon viewing this webinar, participants will be able to:

Describe at least two key requirements in documentation as they relate to proper Medicare funding.
Identify at least two ways to meet current guidelines as they relate to funding.
Describe at least two aspects of Medicare coverage criteria for various CRT products.

References

Centers for Medicare and Medicaid Services (2016). DME MAC Jurisdiction C Supplier Manual. Evidence of Medical Necessity: Power Mobility Devices. Retrieved online from http://www.cgsmedicare.com
Centers for Medicare and Medicaid Services (2016). CMS Medicare Program Integrity Manual. Evidence of Medical Necessity: Wheelchair and Power Operated Vehicle Claims. Retrieved online from www.cms.gov.
Centers for Medicare and Medicaid Services (2016). CMS Local Coverage Determinations (LCDs) and Articles: Manual Wheelchairs, Power Mobility Devices, Wheelchair Options/Accessories, Wheelchair Seating. Retrieved online from www.cms.gov.

CEU Registration and Cost

0.125 Continuing Education Units (CEUs) will be awarded to individuals for viewing 1.25 hours of instruction.
The cost for the webinar is $59.00

Instructions to Obtain CEUs

go to the RSTCE web site at: www.rstce.org

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Select Webinars
Select the webinar: IC10 – What’s the Latest? Medicare Documentation & Coverage Requirements
Complete your registration

A payment confirmation will be sent via e-mail.
(Allow 10 minutes for the database to process payment and send a confirmation e-mail).

After viewing the webinar

log back into database and Select Post Tests and Evaluation for: IC10 – What’s the Latest? Medicare Documentation & Coverage Requirements
Select and complete Post Tests and Evaluations

You will receive your CEU Certificate via e-mailed as a PDF file (Please allow 10 minutes for the database to process your certificate and send it to your e-mail)

The University of Pittsburgh, School of Health and Rehabilitation Sciences awards Continuing Education Units to individuals who enroll in certain educational activities. The CEU is designated to give recognition to individuals who continue their education in order to keep up-to-date in their profession. (One CEU is equivalent to 10 hours of participation in an organized continuing education activity). Each person should claim only those hours of credit that he or she actually spent in the educational activity.
The University of Pittsburgh is certifying the educational contact hours of this program and by doing so is in no way endorsing any specific content, company, or product. The information presented in this program may represent only a sample of appropriate interventions.

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Updated | 06.01.2017