What You Want: Hot New Products!
What’s the perfect mobility or complex rehab product? The one that meets the clinical and lifestyle needs of your client…while also meeting the many requirements of funding sources.
In our annual product & technology pictorial, you’ll find mobility, seating and accessibility solutions – and from the product descriptions, you’ll see how manufacturers and engineers are creating equipment with not just patients, but also payors in mind.
Throughout our special technology section, we’ve also included results from our new complex rehab survey. Read about how your peers determine which equipment to buy, what they’re buying, and whom they consult in the decision-making process.
And don’t forget that you can keep up with new products, services and technology all year long at mobilitymgmt.com. Happy 2010!
Positioning Support for Extreme Needs
For SCI patients with severe positioning needs, the new Acta-Back Deep (available Feb. 1) provides laterals that can be width-adjusted up to 2″ total; a thin-profile trunk stabilizer pad; and hip and scapula relief. The back accommodates headrests and laterals, and boasts three-layer foam construction, including a visco top layer. Single-point, quick-release mounting hardware adjusts for height, depth and angle. In 16-24″ widths and 16-22″ heights.
The Comfort Company
Lifting Power in a Slim Package
Pinnacle Premium Stairway Lift
At just 11″ wide when folded and 170 lbs. installed (16′), the Pinnacle is inconspicuous, but strong (350-lb. weight capacity). The stairlift features a wide, comfortable seat that swivels at the top landing to facilitate safe transfers. Safety sensors prevent the lift from running if the seat is not properly positioned or if an obstacle blocks the stairway or track. The energy-smart Pinnacle can make up to 40 trips in the event of a power outage.
Focus on: Power Mobility Devices
DME MACs Release FAQs on ATP Involvement
The Centers for Medicare & Medicaid Services’ (CMS) four DME MACs are distributing a new FAQ document regarding power mobility devices (PMDs) and the involvement of assistive technology professionals (ATPs) in the assessment and equipment selection processes.
In particular, the FAQ document distinguishes between the required involvement of ATPs conducting the specialty evaluation and the ATP employed by the supplier (referred to by the abbreviation “sATP” in the FAQ document).
The document also discusses at length the required involvement of the sATP in the equipment selection process.
In one answer, the FAQ says, “There must be evidence in the supplier’s file of direct in-person interaction with the patient by the sATP in the wheelchair selection process. The supplier, LCMP (licensed certified health-care professional) or treating physician must document how the sATP is involved with the patient….Just “signing off” on a form completed by another individual would not adequately document direct, in-person involvement.”
As an example, the FAQ suggests, “The sATP can create a note documenting their involvement in the specialty evaluation process and that the recommendations reflect their input.”
The FAQ document repeatedly emphasizes that the sATP must be directly involved in the equipment selection process. In reply to a question asking if an sATP can review and approve the equipment recommendations of other non-ATP staff members, “An sATP cannot simply ‘review’ and ‘sign off’ on non-credentialed staff work in order to meet the requirement.”
In response to the question of whether the sATP’s evaluation can be conducted at the time that the PMD is delivered to the beneficiary, the FAQ says, “No. The purpose of the sATP evaluation is determining the proper seating, accessories and other components of the PMD prior to ordering and delivery.”
The FAQ also says the sATP cannot perform any part of the face-to-face examinations required by Medicare as part of the PMD and complex rehab wheelchair assessment process.
A System That Acts as a Closer
Model 200 Door Operator
Targeted to “light commercial” applications, such as restrooms or business entrances, the Model 200 Door Operator system that can also substitute for a door closer.When doors are opened manually, the system lightly resists entry, then closes the door after release. The system opens, pauses, then closes the door when operated via wall pushpad.
Access the Indoors, Conquer the Outdoors!
With rear-wheel drive and a 6.5-mph top speed, the C350 Corpus delivers high performance on demand outdoors, while a compact footprint enables the power chair to maneuver nimbly indoors. A seat-tofloor height of 18.5″ gives the C350 user great access to his/her environment. Two motor options are available. The C350 Corpus features R-net controls, built-in lumbar and trunk supports in the seat, and a modular design that’s growth friendly.
Focus on: Pediatrics
Researchers Working on Urine Test to Detect Sleep Disorders in Kids
The American Thoracic Society Journal reports that researchers at the University of Chicago have determined a way to screen kids for obstructive sleep apnea (OSA) by testing their urine.
Said Dr. David Gozal, professor and chairman of pediatrics at the University of Chicago, “These findings open up the possibility of developing a relatively simple urine test that could detect OSA in snoring children. This would alleviate the need for costly and inconvenient sleep studies in children who snore, only about 20 to 30 percent of whom actually have OSA.”
Researchers studied groups of children suspected of having OSA along with non-snoring children who acted as the control group. Urine samples were taken from the children after they woke from the sleep study, and researchers discovered “a number of proteins were differently expressed in children with OSA compared to children with habitual snoring or healthy, nonsnoring children,” according to the Journal.
The Journal added that 1 to 3 percent of children ages nine and under are thought to have OSA, but the American Sleep Apnea Association points out that children with cerebral palsy or muscular dystrophy are at higher risk.
Stability + Positioning + Skin Protection
Synergy Spectrum Air Cushion
A 4″ multi-cell air insert and exclusive Sil-Air silicone base are designed to deliver unprecedented stability and positioning. The unique design also allows for maximum airflow and moisture protection to maximize user comfort by helping to keep skin cool and dry. Features a standard 3mm ACM solid seat insert and an anti-bacterial agent in the Sil-Air base to reduce odor. Precise air-volume adjustment prevents bottoming out or overinflation worries.
Making Tracks for the Great Outdoors
A track system enables the IRV 2000 to traverse many rough terrains and to climb over obstacles less than 4″ high. Tracks can be run in full-flat position to handle snow or mud, or in half-track position for sand and grass. For smooth surfaces and carpet, the IRV 2000 operates in three-point mode. Van seating with manual recline and rehab seating – with or without power tilt/recline, seat elevation and power legrests – are available.
Focus on: Power Mobility Devices
CMS Issues Reminder on PMD Replacement
The Centers for Medicare & Medicaid Services (CMS) have issued a reminder to DME suppliers regarding the requirements for replacing a power mobility device (PMD) for a Medicare beneficiary. In a previous FAQ document on the topic, CMS noted, “All new PMD requirements must be met. Many new products are available, the codes have changed, and a patient’s functional status must be assessed through a face-to-face evaluation in order to establish need.”
In its latest reminder, CMS added, “When replacing a PMD after the five-year reasonable useful lifetime is met, the beneficiary must meet all of the coverage requirements outlined in the local coverage determination for PMDs, including a new 7-element order and face-to-face evaluation. Claims that do not meet the coverage, coding or documentation criteria will be denied.”
Customized Backs Made Easy for Providers
Icon Back System
Icon backs attach to wheelchair canes at two points and feature easy-to-use/install hardware. Hardware adjusts in anterior and posterior positions to allow easy changes in seat depth or for growth. Backs provide +/-20 degrees of recline. Air-foam cushion includes multi-stiffness foam and two-way air-release valve for adjustment. With Low, Mid, Tall and Deep styles and optional lateral/supplemental supports, Icon enables providers to custom configure systems to fit clients who want better positioning via a solid back.
Answering Billing SOS’s
Billing & Reimbursement Road Show
Presented by U.S. Rehab billing expert Peggy Walker, the educational tour covers the Medicare billing process from start to finish, including how to work through denials, use ABNs properly, collect required documentation, bill for repairs, and understand the most current reimbursement requirements. Beginning to advanced billing staff can learn from these hands-on seminars, scheduled for Feb. 11 (Atlanta), June 7 (Waterloo, Iowa), Aug. 12 (Philadelphia) and Oct. 14 (Oklahoma City).
Focus on: Complex Rehab
NCART Launches New Web Site
Consider it part of a continuing campaign to win the “hearts and minds” of consumers, clinicians, payors and legislators who don’t fully appreciate or understand the immense value of complex rehab technology.
The National Coalition for Assistive & Rehab Technology (NCART) has launched a new Web site “to provide timely information and resources on complex rehab technology and services, and help battle the issues that threaten consumer access.”
Said NCART Executive Director Don Clayback, “With the coverage and funding issues now and those that lie ahead, our Web site will serve as an important tool in telling the complex rehab technology story and protecting access to these important products and services. It has been designed to provide information and resources in an easy-to-access format, to allow for increased advocacy interaction and communication, and to give us a structure that we can add to and enhance as we move ahead.”
Sections of the new site include Current Issues, Advocacy, Position Papers, Medicaid, Educational Material, Policy Makers, Membership, Other Resources, Updates, and Contact Your Legislator.
Visit the new site at ncart.us.