tci Medicare Compliance & Reimbursement - 2005 Issue 11

DME: Share Power Mobility Denial Pain With CMS

Region B represents a particular problem, some suppliers sayFrustrated over inexplicable denials of power mobility claims? Don't hold it inside - the Centers for Medicare & Medicaid Services wants to hear about suppliers' troubles."We are continuing to ... experience absolutely horrific denials for non-ambulatory patients who are attempting at their doctor's direction to obtain power mobility," Mike Johns, director of insurance for Sewell, NJ-based Electric Mobility Corp. told CMS during the Feb. 17 Open Door Forum. EMC manufactures Rascal-brand scooters and power wheelchairs.The problem, he said, seems particularly acute in Region B, where the durable medical equipment...

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