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 firstname.lastname@example.org 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.
CRT users are leading the way in efforts to get vital legislation passed that will protect Complex Rehab Technology. Recognizing the need for CRT users to be at the center of advocacy efforts, the new initiative #Unite4CRT was formed.
Led by Kyle Romano, Bobbi Kay Lewis, and Jenny Siegle, #Unite4CRT is asking everyone to join in the first of a series of online meetings. During this session, you’ll be provided with the tools to confidently and comfortably portray CRT’s vital role.
Check out the new Custom Cushion option for those who need the skin protection and postural control of Ride Custom, and require or request softer, but highly accurate, seating.
Simple to clean
The Custom AccuSoft Cushion comes with an inner incontinent resistant cover and a breathable spacer fabric outer cover. For ease of care, an outer wipeable incontinent resistant cover is also available.
Easy to modify in the field
The Custom AccuSoft’s inner incontinent resistant cover can be zipped off and on, allowing easy access for a simple modification process. Check out this video demonstration.