Separate benefit for complex rehab

Wednesday, December 9, 2009

NASHVILLE, Tenn. – Eighteen industry stakeholders began piecing together their plan to create a separate benefit for complex rehab at a meeting Dec. 8 and 9.

Stakeholders expect to wrap-up the plan in January.

“We’re rolling up our sleeves and getting into the specific changes that we want to get out of this effort,” said Don Clayback, NCART’s executive director, following the meeting.

The plan will detail changes to coding, coverage criteria, payment methodology and provider qualifications. It will also include a timeline for making those changes.

After they wrap-up the plan, stakeholders will hold three separate Webinars in January for providers/manufacturers, clinicians and consumers to review and comment on it.

“The response so far has been, ‘This sounds good. We like where you’re headed and we’re looking forward to getting more specifics,’” Clayback said. “That’s when we’ll share specifics. We’ll be able to say, ‘Here are the specifics; can we count on your support?’”

Also in January, stakeholders will be having individual conversations with “key people,” Clayback said.

“It’s all part of consensus gathering,” he said. “Before we start approaching CMS and Congress, we want to make sure: Have we covered everything? Does anyone have concerns? And most importantly, do we have a board base of support?”

To hear Clayback discuss efforts to create a separate benefit for complex rehab in more detail, watch this episode of HME News TV: