Pride Mobility Products Corp.

Locate an authorized Pride Provider.
 

Physicians Resource CenterHome 
Power Mobility Medicare Updates Examination Requirements Documentation Requirements Choose The Right Mobility Product Prescription Requirements Pride Provider Quality Standards Pride Reimbursement Specialists Sign Up For E-news Alerts Therapist Locator
sideright

Documentation Requirements

Medicare requires that the coverage criteria information be supported by the patient's medical record. The medical record includes your progress notes, chart notes, hospital records, home health records and/or through a physical/occupational wheelchair evaluation. Once you complete the face-to- face examination with your patient and have determined that a PMD is appropriate you may write a prescription for a PMD.

If this power wheelchair is being prescribed for regular use this must be noted in the patient's chart.

The patient's medical record must support the prescription for the device ordered.

IMPORTANT: The physician must document the evaluation from the face-to-face examination in a detailed narrative note in their charts in the format that they use for other entries. The note must clearly indicate that a major reason for the visit was a mobility evaluation.

The elements that are addressed will depend on the diagnoses that are responsible for the mobility deficit. For example, for patients with COPD, heart failure or arthritis, the major emphasis will be on symptoms and history of the progression of their condition rather than one physical examination. Functional assessment is important for all patients.

Useful Life of the PMD – The "useful life" of Durable Medical Equipment (PMD's are in this category) is considered no less than 5 years beginning with the date of delivery. If you prescribe a PMD please consider the patient's usage and his/her prognosis for at least the next 5 years. Considerations include the patient's condition (foreseen changes in his/her medical condition – i.e. a progressive condition such as MS) and the patient's current weight along with history of weight gain and predicted weight gain (if applicable).

Medicare Physician Resource Guide: Provides guidance to physicians on the current coverage policy for PMDs, face-to-face exam requirements, PMD prescription requirements, and what to include in supporting documentation/informations.

©1995-2008 Pride Mobility Products Corp. All rights reserved. 1-800-800-8586