Power Wheelchair and Prosthetic Device
Stephanie Sheedy
Description
Collection
Title:
Power Wheelchair and Prosthetic Device
Creator:
Stephanie Sheedy
Date:
9/6/2019
Text:
Good Afternoon,
I have a patient that just received a power wheelchair and they also want a
prosthetic device (K2, Above Knee Amputation, Medicare is the primary
insurance, medicaid secondary). I am not able to find any information as
to if they can have both. According to the Medicare representative I spoke
with, it is all based on medical necessity. When I asked for examples of
what would qualify a patient for both, the representative only said it
would be determined at the time the claim is submitted. I'm concerned it
would be an automatic denial and have to go through the appeals process.
Any thoughts, advice or experiences would be greatly appreciated.
Thank you!
*Stephanie Sheedy*
President
Monroe BioTechnology, Inc.
920-435-3002
<URL Redacted>
email: <Email Address Redacted>
I have a patient that just received a power wheelchair and they also want a
prosthetic device (K2, Above Knee Amputation, Medicare is the primary
insurance, medicaid secondary). I am not able to find any information as
to if they can have both. According to the Medicare representative I spoke
with, it is all based on medical necessity. When I asked for examples of
what would qualify a patient for both, the representative only said it
would be determined at the time the claim is submitted. I'm concerned it
would be an automatic denial and have to go through the appeals process.
Any thoughts, advice or experiences would be greatly appreciated.
Thank you!
*Stephanie Sheedy*
President
Monroe BioTechnology, Inc.
920-435-3002
<URL Redacted>
email: <Email Address Redacted>
Citation
Stephanie Sheedy, “Power Wheelchair and Prosthetic Device,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 25, 2024, https://library.drfop.org/items/show/209736.
