Skip to Content

Tag: Seth Johnson


Mobility

Complex rehab stakeholders watch for telehealth developments

October 2, 2020Liz Beaulieu, Editor

EAST AMHERST, N.Y. - Complex rehab stakeholders need to “dig into” any new legislation related to permanently expanding the use of telehealth to make sure it includes occupational therapists and physical therapists, says Don Clayback. Earlier this year, CMS expanded the use of telehealth, including for OTs and PTs, through the public health emergency. “Congress needs to give CMS the authority to extend the expansion of telehealth outside of the public health emergency,” said...

complex rehab, Don Clayback, Seth Johnson


Read Full Articlered right arrow icon

Mobility

Accessories issue passes another hurdle

June 28, 2019Liz Beaulieu, Editor

WASHINGTON - A bill in the House of Representatives that would temporarily stop Medicare from applying competitive bidding pricing to accessories for complex rehab manual wheelchairs is headed to the floor for a full vote.The Ways and Means Committee passed H.R. 3429, the “HEARTS and Rural Relief Act,” with a voice vote after a “mark up” session on Wednesday, June 26.“This means the bill has been fully vetted, so it'll be much easier to get it to a full vote,”...

complex rehab, CRT accessories, Don Clayback, H.R. 3429, Seth Johnson


Read Full Articlered right arrow icon

Editorial

Seat elevation coverage and funding continues to expand. Where are we today?

February 27, 2018Guest Commentary

It's a new year that is full of opportunity on many fronts, including coverage and payment for seat elevation. A few years ago, providers, clinicians and manufacturers began challenging the notion that a power adjustable seat height (PASH) system was not “covered” or paid for by most third-party payers. Significant progress has been made over the last couple years due to extensive outreach and education efforts with stakeholders—consumers, providers, clinicians and payers—highlighting...

complex rehab, pride mobility, seat elevation, Seth Johnson


Read Full Articlered right arrow icon

Mobility

What are CMS's plans for prior authorization demonstration

January 23, 2018Liz Beaulieu, Editor

WASHINGTON - A Medicare demonstration project requiring prior authorizations for standard power wheelchairs in 19 states expires this August.“We've had some initial conversations with Medicare with regard to what they plan to do,” said Seth Johnson, senior vice president of government affairs for Pride Mobility Products. “We remain hopeful that it will become a permanent part of the program.”CMS's last action on the demo: In July 2015, the agency extended the demo through...

Pride Mobility Products, prior authorization complex rehab, Seth Johnson


Read Full Articlered right arrow icon

Mobility

All eyes on House bill for manual accessories

November 22, 2017Liz Beaulieu, Editor

WASHINGTON - With the clock ticking on 2017, stakeholders have zeroed in on increasing the number of co-sponsors for a bill in the House of Representatives that would protect accessories for complex rehab manual wheelchairs.At press time, H.R. 3730, which would exempt these accessories from competitive bidding pricing, had 49 co-sponsors.“We're staying in regular contact with our champions and what they've told us is, stay focused on building the level of support for the bill,” said Seth...

CRT accessories, Don Clayback, H.R. 3730, nrrts, pride mobility, Seth Johnson


Read Full Articlered right arrow icon

Mobility

Stakeholders chase legislative fix for accessories

March 10, 2017Liz Beaulieu, Editor

WASHINGTON - Now that bills have been introduced in both the House of Representatives and Senate to permanently protect reimbursement for accessories for complex manual and power wheelchairs, stakeholders are in a race against time to get Congress to act on the issue.Late last year, stakeholders were able to secure a six-month delay in CMS's plans to apply competitive bidding-related pricing to accessories for complex power wheelchairs—a delay that expires July 1 of this year.“We're in...

CRT accessories, Don Clayback, ncart, pride mobility, Seth Johnson


Read Full Articlered right arrow icon

Mobility

Complex rehab accessories: Stakeholders line up for permanent fix in 2017

December 2, 2016Liz Beaulieu, Editor

WASHINGTON - The chances are good that industry stakeholders and their champions in Congress will be able to stall CMS's plans to apply competitive bidding-derived pricing to accessories for complex power wheelchairs for another six months.Language to that effect has been included in the 21st Century Cures Act, which passed the House on Nov. 30 and is scheduled to pass in the Senate this week.“We're pleased to be in the bill and we're pleased the bill is going to move this early in December,”...

CRT accessories, Don Clayback, ncart, Pride Mobility Products, Seth Johnson


Read Full Articlered right arrow icon

Editorial

How to have a vital dialogue about funding

November 30, 2016Guest Commentary

After years of challenges, are there any signs that funding medically-necessary, quality-of-life complex rehab technology (CRT) can advance coverage and payment policies to reflect advancements in technology?Just over a year ago, Pride Mobility Products and Quantum Rehab launched an ambitious product that challenged funding entities based on the increased functionality it brought to complex rehab power wheelchairs. Consumer inspired, it was a power adjustable seat height system. Specifically, it...

complex rehab technology, Mark Smith, pride mobility, Seth Johnson


Read Full Articlered right arrow icon

Mobility

GAO emphasizes smallness of accessories market

June 3, 2016Liz Beaulieu, Editor

WASHINGTON - Mobility stakeholders say they now have backup from the Government Accountability Office.Stakeholders were pleased last week when the GAO released a highly anticipated report that found Medicare utilization and spending for accessories for complex power wheelchairs are relatively low—about 312,000 and $159 million, respectively, in 2014.“In the scheme of DME spending and healthcare spending overall, that's a small number,” said Don Clayback, executive director of NCART....

CRT accessories, Don Clayback, ncart, pride mobility, Seth Johnson


Read Full Articlered right arrow icon

Mobility

CMS stonewalls Congress on accessories

February 26, 2016Tracy Orzel

WASHINGTON - CMS has yet to respond to calls by lawmakers to restore reimbursement for accessories for Group 3 power wheelchairs by March 1, industry stakeholders say.“Congress is very, very frustrated that CMS has stonewalled them,” said Cara Bachenheimer, senior vice president of government relations for Invacare. “They're continuing to pressure CMS on this issue, because it's not a polite request. It's a law.”In January, CMS announced it will use an adjusted fee schedule...

Cara Bachenheimer, CRT accessories, Don Clayback, Seth Johnson


Read Full Articlered right arrow icon