A new study describes the amount, types, and shapes of tissue present in the buttocks during sitting (i.e., seated buttocks soft tissue anatomy) and the impact of seated buttocks soft tissue anatomy on biomechanical risk. Authored by Sharon Sonenblum, Ph.D., the study is available in the Journal of Tissue Viability here.
Bulk tissue thickness under the seated ischium varied from 5.6 to 32.1 mm.
Wheelchair users with a pressure ulcer history have more peaked buttocks contours.
Most people do not have gluteus maximus covering their ischial tuberosity.
The ultimate goal of Dr. Sonenblum’s work is to define biomechanical risk of skin breakdown so watch for further study results with data related to risk on various seating surfaces, including the Java Cushion. Ride Designs has supplemented a federal grant awarded to Georgia Tech University to help support this ongoing, important research.
Read more research related to Ride Designs wheelchair seating products here.
Medicare and other funding sources that follow Medicare guidelines have long considered the “reasonable, useful lifetime” (RUL) of durable medical equipment to be five years. This means that these funding agencies will not pay for a piece of equipment to be replaced within five years of its purchase, unless a change in medical condition warrants the purchase of a new type of equipment.
Historically, this rule was not applied to wheelchair cushions and back supports. However, this changed recently when suppliers began seeing denials for replacement cushions and backs, if the existing equipment was purchased within the last five years.
The wheelchair seating industry does not believe that the five year “RUL” policy should be applied to wheelchair seating. We are working hard to advocate for this policy to be changed.
In the meantime, there are ways to “repair” Ride Designs’ cushions and back supports, and to have those repairs covered by insurance.
Components of existing Ride wheelchair cushions and backs can be ordered individually for replacement, and often this will resolve any issues that are causing the cushion or back to need replacement. For example, if a Ride Java® Cushion has compressed foam and is no longer providing proper positioning or skin protection, the foam topper can be replaced individually, without having to replace the entire cushion. This (and any other cushion or back components except covers) can be billed with code K0108. Labor to replace the component (E1340) can be billed to most payers as well, including Medicare. Replacement covers are billed using code E2619.
Please refer to the Ride Parts Manual to locate part numbers for individual cushion and back components, or contact our Customer Service Department at 303.781.1633 or email@example.com for more information.
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 could be a game-changer for your seating practice, here.
Plan now to take a Ride Custom Certification Course in 2020!
January 9 – 10
February 27 – 28
April 23 – 24
July 30 – 31
October 22 – 23
October 29 – 30
Registration is open; class size is limited. We look forward to hosting you for a great educational experience at Ride Designs in Colorado.
For your reference in advocating for protecting access to equipment for all CRT users, this guide was developed by NRRTS and their CRT user coalition, Unite4CRT. Be sure to contact your member of Congress to ensure that they understand how important CRT is to the independence and health of wheelchair users. Tell your story to bring it home.