LiamG at 23:37, 13 June 2025

2025-06-13T23:37:33Z

← Older revision		Revision as of 23:37, 13 June 2025
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			== General Process ==

			# Identify need for equipment.
			# Document in clinic or hospital note the need for equipment. Review the supporting language below.
			# Contact case manager to request assistance in ordering supplies.
			# Complete appropriate requisition form, which can be found through links below or be sent by CM.
			# CM team will coordinate with DME supplier to deliver equipment.
			# Complete review of need for equipment at required follow up interval.

			==Walker==
			A standard four-wheel walker can be dispensed to the patient from clinic or inpatient. A custom walker or rollator (the adjustable type with a seat and wheels) must be requested through PT.

			Requirements: A standard walker and related accessories are covered by Medicare/Medicaid if all of the following criteria are met:

			The beneficiary has a mobility limitation that significantly impairs his/her ability to participate in one or more mobility-related activities of daily living (MRADL) in the home.

			A mobility limitation is one that:

			* Prevents the beneficiary from accomplishing the MRADL entirely, or
			* Places the beneficiary at reasonably determined heightened risk of morbidity or mortality secondary to the attempts to perform the MRADL, or
			* Prevents the beneficiary from completing the MRADL within a reasonable time frame; and
			* The beneficiary is able to safely use the walker; and
			* The functional mobility deficit can be sufficiently resolved with use of a walker.

			If all of the criteria are not met, the walker will be denied as not reasonable and necessary.

			Suggested Autotext documentation: "his patient has a mobility limitation that significantly impairs his/her ability to participate in the following ADL(s) at home: _. The patient is able to safely use the walker, which sufficiently resolves the mobility deficit."

	==Standard Commode==		==Standard Commode==
	#Patient is physically incapable of utilizing toilet facilities. This would occur in the following situations:		#Patient is physically incapable of utilizing toilet facilities. This would occur in the following situations:

JenniferH: Created page with "==Standard Commode== #Patient is physically incapable of utilizing toilet facilities. This would occur in the following situations: ##The patient is confined to a single room..."

2023-01-31T15:10:48Z

Created page with "==Standard Commode== #Patient is physically incapable of utilizing toilet facilities. This would occur in the following situations: ##The patient is confined to a single room..."

New page

==Standard Commode==
#Patient is physically incapable of utilizing toilet facilities. This would occur in the following situations:
##The patient is confined to a single room (confinement to a single room means the patient is bedridden, cannot walk with a cane or walker, or cannot use or be wheeled in a wheelchair to access the bathroom) OR
##The patient is confined to one level of the home environment and there is no toilet on that level, OR
##The patient is confined to the home and there are no toilet facilities in the home
#Height and Weight within 30 days of prescription

==Extra Wide/Heavy Duty Commode Chair==
#Patient meets standard commode requirements AND
#Weight > 300lbs documented in medical record within 30 days of prescriptions

==Drop-Arm Commode==
#Patient meets standard commode requirements AND
#Detachable arms feature is necessary to facilitate transferring the patient or if the patient has a body configuration that requires extra width

A commode is NOT covered by Medicare for the following conditions/situations:
*Urinary urgency or incontinence
*Slow gait and cannot get to the bathroom in a timely manner
*Patient is able to walk with or without an assistive device, are able to use a wheelchair in the home, and are able to get to the bathroom

==Semi Electric Hospital Bed==
#One or more of the following criteria:
##Medical condition which requires positioning of the body in ways not feasible with an ordinary bed
##Requires positioning of the body in order to alleviate pain
##Requires head of bed to be elevated more than 30 degrees most of the time due to congestive heart failure, chronic pulmonary disease, or problems with aspiration
##Requires traction equipment, which can only be attached to a hospital bed
#Requires frequent changes in body position and/or has an immediate need for a change in body positions (i.e. a patient has large or multiple pressure ulcers on the trunk or pelvis and needs to be repositioned frequently and is unable to do so without assistance; or the patient has limited strength to move or shift their body)

Height: _
Weight: _
Wheelchair size: _

==Standard Manual Wheelchair==
#All of the following criteria are met:
##Mobility limitations impairing MRADLs (mobility-related activities of daily living: toileting, feeding, dressing, grooming, bathing, etc) in customary locations in the home
##Cannot be sufficiently resolved with a cane or a walker
##Will improve the patient’s ability to participate in MRADLs
##Client will to use wheelchair
##Height and weight within 30 days of prescription
#AND one of the following are met:
##Patient able to safely propel wheelchair themselves
##Caregiver available and will to push client in chair

==Hemi Wheelchair==
#Standard Manual Wheelchair criteria met AND one of the following:
##Lower seat height (17” to 18”) required due to short stature
##Patient needs to place feet on the ground for propulsion

==Lightweight Wheelchair==
#Standard Manual wheelchair criteria met AND both of the following:
##Unable to self-propel in standard chair
##Able to self-propel in lightweight chair

==Heavy Duty Wheelchair==
#Standard manual wheelchair criteria met AND one of the following:
##Weight over 250 lb
##Severe spasticity

==Extra Heavy Duty Wheelchair==
#Standard wheelchair criteria met AND
#Weight over 300 lbs

DME equipment - Revision history

LiamG at 23:37, 13 June 2025

JenniferH: Created page with "==Standard Commode== #Patient is physically incapable of utilizing toilet facilities. This would occur in the following situations: ##The patient is confined to a single room..."