We know you’ve been meaning to attend… so select now from among nine Ride Custom Certification Courses sessions offered for 2019!
February 28 – March 1
April 11 – 12
April 18 – 19
May 16 – 17
June 20 – 21
July 25 – 26
August 1 – 2
October 17 – 18
October 24 – 25
The course is designed specifically for clinicians and suppliers who want to take their seating skills to the next level. Learn why coming to Colorado for the course may be a game changer for your seating practice here.
Registration for all 2019 dates is now open. Register early here; class size is limited.
Funding for complex rehab technology equipment in the US is in jeopardy. It’s important for lawmakers to understand just how critical this equipment is to preserve and enhance health and independence. ADA requirements may be loosened… certainly issues for everyone to be monitoring.
It’s all about educating those for whom disability issues are a foreign language about the importance of these issues to the disability community. Ride Designs team members were among those who went to Capitol Hill in late April to advocate for complex rehab technology. Earlier this year, we hosted Colorado Senator Michael Bennet at our facility for Small Business Week. The Senator, shown here discussing wheelchair seating with veteran Andrew Kinard, seems open to learning more about both our products and the issues they are meant to resolve.
You don’t need to travel to Washington to be involved… check out these resources:
• An interesting podcast with panelists speaking about their advocacy efforts has been posted online by United on Wheels.
• The Christopher and Dana Reeve Foundation, which focuses on spinal cord injury advocacy, urges “Lend your voice to our initiatives and you can make a real difference for people living with paralysis, as well as their families and caregivers.”
• Your member of congress is leaving, now what? Mobility Management outlines some ideas about how to how to keep CRT discussions going amid changes in D.C here.
In our last post, we discussed documenting the need for a custom wheelchair back or cushion vs. a prefabricated back or cushion. Here, we continue the documentation discussion…
Less Costly Alternatives?
Funding sources, including Medicare, expect clinicians to document the reason one custom product is selected over others that may be less costly. Here are some of the differentiating reasons that Ride Custom 2 Cushions and Ride Custom Backs may be selected over other custom cushions and backs.
Ride Custom Cushion:
• Unlike other custom-molded wheelchair cushions, Ride’s patented and evidence-based mechanism of support helps to enhance sitting stability and performance, while reducing the dangerous forces of pressure and shear from at-risk bony prominences. Jane’s inability to perform a functional weight shift places her at high risk for pressure injuries, and the design of the Ride Custom 2 Cushion is critical to maintaining her skin integrity.
• Unlike other custom-molded wheelchair cushions, the Ride Custom 2 Cushion is modifiable in the field, without factory intervention or cost, to accommodate changes in Jane’s pelvic presentation over time.
• Unlike other custom-molded cushions, the Ride Custom 2 Cushion manages heat and moisture and can be cleaned and sanitized to provide a healthy microenvironment. This is critical for Jane Doe as she resides in a warm, humid client, and is at risk for pressure injuries.
Ride Custom Back:
• Unlike other custom-molded backs, the Ride Custom Back has a thin profile and multi-axial hardware which enables precise adjustment of lateral orientation to bring the head and neck to midline over supported residual scoliosis. Jane requires the thin profile to maximize upper extremity range of motion and function, and requires the multi-axial hardware to adjust the position of the back to optimize her stability and postural alignment.
• Unlike other custom-molded backs, the Ride Custom Back manages heat and moisture, and can be cleaned and sanitized to provide a healthy microenvironment. Jane’s warm and humid environment make this medically necessary.
If you need assistance with documentation review for your Ride Custom Back and/or Cushion order, we can help, and at no cost to you! Contact our Reimbursement Department at (866) 781-1633 x 312.
In our last post, we discussed Medicare’s documentation requirements for custom wheelchair backs and cushions. Here we continue the series…
In the written therapy evaluation — why Ride Custom over prefabricated cushions and backs?
The beneficiary may present with: specific body measurements, significant postural deviations, contractures, pelvic tilt, obliquity, rotation, etc. that cannot be accommodated by a prefabricated cushion or back.
These presentations should be well documented to demonstrate the reason a prefabricated cushion or back will not provide sufficient skin protection and/or postural support. Documented trial and failure of lower level equipment is beneficial.
Example: Jane Doe presents with a very pronounced anterior pelvic tilt, a left pelvic obliquity, a left lumbar convex scoliosis, a right convex thoracic scoliosis, a marked thoracic kyphosis, and a forward head. Her lower extremities assume a position of abduction. Her legs exhibit a leg length discrepancy with the right lower extremity being shorter than the left.
There are no prefabricated wheelchair cushions that will accommodate these postural deviations to provide sufficient stability and pressure management. There are no prefabricated backs that will provide accurate contour to accommodate and support Jane’s posture.
With lack of sufficient pelvic and trunk support, Jane is at risk for developing progressively more severe postural asymmetries as well as pressure injuries. In addition, a poorly fitting prefabricated seating system will severely limit Jane’s ability to independently perform mobility-related activities of daily living.
A Ride Custom 2 Cushion and Ride Custom Back will be made specifically to match Jane’s complex shape, helping to decrease long-term skin risk and aiding in sitting stability for improved functional performance.
Navigating the U.S. Medicare guidelines for documenting the medical need for custom seating can seem daunting. We’ll break it down for you here.
To start, Medicare requires that a beneficiary needing custom seating is seen by a Physical or Occupational Therapist to evaluate the seating needs, in addition to a physician. The documentation generated by the physician and therapist will need to contain three primary pieces of information:
The beneficiary meets Medicare’s coverage criteria for the wheelchair on which the seating will be installed.
The beneficiary’s condition and diagnosis meet Medicare’s criteria for custom seating. Specifically:
For custom backs – there are documented, significant postural asymmetries that are the result of a qualifying diagnosis.
For custom cushions – there is a documented, current pressure ulcer or history of pressure ulcer on the lower back, sacrum, hip or buttock, OR documented absent/impaired sensation in these same areas, OR documented inability to perform a functional weight shift, as the result of a qualifying diagnosis.
A statement clearly explaining why a prefabricated seating system will not sufficiently meet the medical need of the beneficiary. (This piece of information cannot come from the physician alone, it must be in the written therapy evaluation).
If you need assistance with documentation review for your Ride Custom Back and/or Cushion order, we can help, and at no cost to you. Simply contact our Reimbursement Department at (866) 781-1633 x 312.