Date: Monday, March 20, 2023
Category: General Session
Medicare, and other insurances that follow Medicare, require a specialty wheelchair evaluation to be performed by an LCMP (usually a PT or OT) and an ATP assessment for complex rehab wheelchairs (K0835-K0864, K0005, and E1161). The LCMP may not have a financial relationship with the wheelchair supplier and the wheelchair supplier must employee the ATP. Due to the level of detail required in the LCMP evaluation there have been rumors that some ATPs have “helped” the LCMP with this documentation at various levels. So, where is the LINE of what, if anything, can the ATP do to help the LCMP with the wheelchair evaluation? The Medicare Contractors as well as APTA and AOTA have weighed in and put a LINE in the sand. In this session, the instructors, will discuss where The FINE Line is and outline the ethical and legal implications if it is crossed.
Learning Objectives:
- Identify the different roles between the PT/OT and ATP for complex rehab wheelchairs
- Determine the required content and acceptable sequence of events
- Develop a protocol to ensure compliant methods to obtain the required documentation