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Mobility-Assist Device National Coverage To Rely On Clinical Criteria

This article was originally published in The Gray Sheet

Executive Summary

CMS is proposing to replace its "bed- or chair-confined" mobility-assist device criteria with clinical guidance to gauge whether a patient requires such devices

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CMS Overhauls Wheelchair Reimbursement In Interim Final Rule

CMS' interim final rule on power wheelchairs and mobility assist equipment marks the culmination of almost two years of initiatives to reduce fraud by modifying coverage and payment requirements

CMS mobility assistive equipment coverage

Power wheelchairs such as J&J's iBOT are covered under a May 6 final decision memo for beneficiaries "who have a personal mobility deficit sufficient to impair their participation in mobility-related activities of daily living." Mobility assistive equipment also includes canes, crutches, mobile geriatric chairs, wheelchairs and power operated vehicles. The policy concludes the agency's review of Medicare wheelchair fraud (1"The Gray Sheet" Feb. 7, 2005, p. 13)...

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