A Medicare power wheelchair is a necessary prerequisite to record a face-to-face mobility evaluation correctly. However, some people choose not to pursue the Medicare Power Wheelchair option because they incorrectly assume the procedure is time-consuming and difficult. As such, this lack of information may result in missed possibilities for increased mobility.
It is important to note that obtaining a power wheelchair may be less complex than most people presume. Hence, it would be helpful to understand and follow the Medicare power mobility coverage regulations to enhance the approval chances.
An In-Office Mobility Evaluation
An in-office mobility evaluation, also known as a face-to-face mobility assessment, is a necessary doctor’s appointment for those who have mobility issues. These evaluations are essential before any doctor decides to issue a power wheelchair to the patient.
The central focus of these assessments is usually on the patient’s ability to move independently. Hence, the doctors record the patient’s mobility-related activities of daily living (MRADLs). Additionally, the doctors note and document all mobility challenges that the patient encounters in completing the MRADLs.
Afterward, the doctor will subject the patient to a physical examination. The examination is vital in determining whether or not the patient is medically required to use power mobility.
Further, the examination results must clearly demonstrate that:
- There is no chance of the patient’s safe and successful utilization of alternative assistive devices, including manual wheelchairs or walking canes.
- There is an establishment that a motorized wheelchair is medically essential for the patient to be able to complete daily tasks.
What to Expect During the Mobility Evaluation in Terms of Functional Assessments
Usually, the doctors record and document the following patient’s information during an assessment:
- Information about the patient, including vital signs such as blood pressure, height, and weight.
- The medical history of the patient, including previous diagnoses. This section must encompass any muscular problems, falling occurrences, recurring extremities pain, and drugs taken.
- Mobility examinations and the outcomes.
- This report must include ambulatory difficulties and other physical issues that have a direct impact on daily activities.
Documenting the Need for Power Mobility Due to Medical Reasons
The next step is to acquire a power wheelchair. The process entails delivering accurate documentation to the provider within 45 days after the evaluation. It might be easier to print out the mobility assessment packet for easier assistance and to enable the physician to adhere to Medicare paperwork requirements.
Patients may aid in the progression of the process by ensuring the inclusion of all the following details:
- Medical proof demonstrating that alternative, less costly mobility devices will not meet the beneficiary’s mobility requirements.
- An up-to-date prescription for the wheelchair, with an official stamp.
- Information indicating that the patient’s mobility was the primary emphasis of the office appointment per the chart notes.
- Medical diagnostic and documentation demonstrating the need for a power wheelchair.
The odds of meeting the goal and the requirements increase when everyone works as a team throughout the motorized wheelchair issuance process. As such, individuals who follow up on the status of the wheelchair, including physicians, play a crucial role in ensuring timely delivery of the mobility aid.