Tag: seat elevation
Stakeholders on seat elevation: ‘We need more details’
March 20, 2024Liz Beaulieu, Editor
WASHINGTON – Complex rehab stakeholders are disappointed in CMS’s payment rate for seat elevation systems and have requested a meeting with the agency to learn more about how it landed on about $2,000.
That rate is lower than the $2,800, on average, that providers are being paid for the systems on an interim basis, and significantly lower than the rate stakeholders had recommended.
“The payment piece was disappointing,” said Wayne Grau, executive director...
In brief: CMS flexibilities outlined, reimbursement relief passed up, seat elevation code released
March 6, 2024HME News Staff
WASHINGTON – The U.S. Department of Health and Human Services has outlined steps that CMS has taken to assist providers to continue serving patients in the wake of the Change Healthcare cyberattack.
Affected parties should be aware of the following flexibilities, the agencies say:
Medicare providers needing to change clearinghouses that they use for claims processing during these outages should contact their Medicare Administrative Contractor (MAC) to request a new electronic...
CMS releases coding, payment info for seat elevation systems
March 4, 2024HME News Staff
WASHINGTON – CMS has announced coding and payment information for seat elevation systems for complex rehab power wheelchairs, AAHomecare has reported.
The key takeaways, according to the association:
Discontinues existing HCPCS Level II code E2300, “Wheelchair accessory, power seat elevation system, any type,” effective March 31, 2024
Establishes E2298, “Complex rehabilitative power wheelchair accessory, power seat elevation system, any...
Coding for seating elevation imminent
October 31, 2023HME News Staff
WASHINGTON – Industry stakeholders believe CMS will address coding for seat elevation systems during a scheduled public meeting Nov. 28-30.
They believe the agency will release corresponding reimbursement in December.
“Final implementation of coverage will be in early 2024,” NCART stated in a bulletin. “In the interim, the DME MACs will continue to determine reasonable and necessary coverage as they work to develop local coverage determinations that are in...
NCART elects new members, seeks pricing data
July 31, 2023HME News Staff
WASHINGTON – NCART has elected new members to its board of directors for the 2023-35 term. They are Bruce Bayes, president of Custom Mobility; John Goetz, consultant to Permobil; Larry Jackson, president of Sunrise Medical; Johnny Miller, president of Miller’s; Kyle Walker, regional vice president of Reliable Medical Supply; and Brett Zaer, president of Superior Mobility. “We’re very thankful to the strong and committed group of industry leaders who give their time, expertise...
Seat elevation systems: Stakeholders help CMS shape next steps
July 14, 2023Liz Beaulieu, Editor
WASHINGTON – With Medicare coverage secured for seat elevation systems, stakeholders are working their way through steps 2 and 3 of the process: coding and pricing.
Manufacturers, led by NCART, submitted code applications to CMS by a July 3 deadline, following about two years of work, including gathering detailed and comprehensive information from each manufacturer.
“The main goal is to clearly differentiate the standard power seat elevation technology from the complex...
NSM: ‘It could (become) very rare for a complex power wheelchair not to have seat elevation’
June 9, 2023Liz Beaulieu, Editor
NASHVILLE, Tenn. – Just how big of a deal is Medicare’s new coverage for seat elevation systems for complex power wheelchairs? National Seating & Mobility’s Isaac Rodriguez estimates Medicare is about one-third of the company’s payer volume and about one-third of its clients use power wheelchairs, so a significant number of its clients will most likely qualify for the technology.
“Seat elevation is already a big deal for power wheelchair users – many of...
Seat elevation systems are a go
May 26, 2023Liz Beaulieu, Editor
WASHINGTON – Complex rehab stakeholders saw their “perseverance” pay off on May 16, when CMS published a final benefit category determination and national coverage decision approving seat elevation systems for power wheelchairs.
The ITEM Coalition first made the request to reconsider coverage for seat elevation in September 2020, kicking off a process that saw stakeholders conducting countless meetings with CMS and participating in two comment periods in February 2022 and...
Stakeholders ‘jump on opportunity’
April 7, 2023Liz Beaulieu, Editor
WASHINGTON – When CMS publishes a final national coverage determination for power seat elevation systems on May 15, industry stakeholders will be on the lookout for several of their recommendations, including expanding coverage to Group 2 wheelchairs.
In a proposed NCD released in February, CMS moved forward with expanding coverage to Group 3 wheelchairs, per the ITEM Coalition’s original request for redetermination, but the agency also asked for comments on expanding coverage...
Pondering the future of complex rehab
April 7, 2023John Andrews
Between a proposed Medicare expansion of power seat elevation, potential advancements in technology and impending financial challenges, the complex rehab category has cast a sharp eye on the future.
To be sure, questions abound on how these upcoming developments will impact the industry, though expectations at this point are generally optimistic.
Seth Johnson, senior vice president of government affairs for Duryea, Pa.-based Pride Mobility Products, is encouraged that expanded coverage...