Smart Talk: Complying with new PWC regs

Thursday, June 30, 2005

Q. With the new power mobility guidelines, what should the supplier do to be prepared and stay in compliance?
A. With all the fraud in power operated vehicles products (POV), the new guidelines that go into effect Jan. 1, 2006 will require a visit to the physician for anyone who needs a POV. The guidelines call for specific documentation, for a PT evaluation or physician's assessment of upper and/or lower extremity strength and a written order prior to delivery. The physician will be required to document the patient's home setting, physical mobility limitations in daily living activities, and cognitive & visual capabilities. There will be 12 new codes for pediatric and 37 new codes for adult power grouped in five categories based on the specifications of the chair. Now, your question is how do I accomplish this? It is more efficient to obtain the detailed medical records and other documentation upfront. This will help you collect your money faster and result in less lost equipment or write offs. It will require educating your physicians and sales team on the coverage criteria. If necessary, make a simple sheet using the information direct from the DMERC manual or publications regarding power wheelchairs and scooters. Explain what the criteria means. Changing your process now will make a smoother transition later.
-- Angela Miller, Medical Auditing Solutions, 972-459-1508,