If you’re a Complex Rehab Technology (CRT) provider and have had power wheelchair claims denied by one or more Medicare Advantage plans, an industry workgroup wants to hear from you.
That’s the message that NCART passed along in its Dec. 28 newsletter to stakeholders.
“Improper Medicare Advantage denials of power wheelchairs continue to negatively impact access to CRT,” NCART said in the bulletin. “To address this issue, the Clinician Task Force, NCART, and others have teamed up to begin collecting data that can be analyzed to better understand current trends and also be utilized in advocacy discussions.”
The workgroup is collecting denial information to better understand the scope and nature of the problem. Providers are being asked to submit their information via a form created by the workgroup.
“The form is quick and easy, and all information is kept strictly confidential,” NCART added.
The form asks for the business name and contact information; the Medicare Advantage plans the provider works with; why the provider has chosen not to work with certain Medicare Advantage plans; and how many Medicare Advantage power wheelchair claims the provider submits per month. After providers submit their forms, Clinician Task Force Executive Director Cara Masselink, Ph.D., OTR/L, ATP, will contact them with further information.
