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Eight Indicted in Medicare Fraud - The Ledger Eight people have been indicted for their roles in an alleged $22 million Medicare fraud scheme operated out of a Miami business. The U.S. Attorney's Office announced Friday that those charged with conspiracy to commit health care fraud are Gladys ... Publ.Date : Sat, 27 Jun 2009 08:33:00 GMT Bill would allow Medicare to pay adult day care costs - Long Beach Press-Telegram Taking care of a sick adult could become less expensive under a plan introduced this week by Rep. Linda Sanchez. The Lakewood Democrat's bill would allow Medicare to pay the majority of costs incurred by infirm adults in need of day care. The program ... Publ.Date : Fri, 26 Jun 2009 00:56:00 GMT Few survive cardiac arrest, even with hospital CPR - The Guardian AP Medical Writer= You don't have to be Michael Jackson to have this problem: The odds of surviving cardiac arrest after getting CPR in a hospital are slim and have not improved in more than a decade, a big Medicare study concludes. Only about 18 ... Publ.Date : Fri, 03 Jul 2009 17:30:00 GMT MOUNTAIN OF DEBT: Rising debt may be next crisis - AOL WASHINGTON -The Founding Fathers left one legacy not celebrated on Independence Day but which affects us all. It's the national debt. The country first got into debt to help pay for the Revolutionary War. Growing ever since, the debt stands today at ... Publ.Date : Sat, 04 Jul 2009 14:16:00 GMT Maine hospital losing Medicare reimbursements - Fosters Daily Democrat MACHIAS, Maine (AP) — The federal government has served notice that it's stripping Down East Community Hospital in Machias of Medicare and Medicaid reimbursements. The Centers for Medicare and Medicaid Services said the decision, which takes effect ... Publ.Date : Sat, 27 Jun 2009 10:14:00 GMT RSS For Web Pages More Web Site Traffic

Wheelchair Medicare: The Complete Process Defined

by Sourceone Medical

Wheelchair Medicare Coverage; Medicare can help you purchase a wheelchair in such conditions, wherein you are bed-ridden or chair confined.

Medicare can help you purchase a wheelchair in such conditions, wherein you are bed-ridden or chair confined, and that you need a wheelchair to move around and perform your daily chores, but not as a luxury item. To avail the facility, your physician is required to give a Certificate of Medical Necessity (CMN) to be filed with the claim. The coverage for electric scooters is covered only if they are ordered by a physician who is one of the following specialists: Orthopedic Surgery, and Neurology or Rheumatology. And, all wheelchairs can be ordered by any physician.

Medical Record
In order to substantiate your medical condition, your medical record must contain sufficient papers to be eligible for a wheelchair. The record should comprise of the diagnosis, the details of the health condition for which the wheelchair is recommended, nature and extent of functional limitations, etc. A copy of the Certificate of Medical Necessity (CMN) should also be included in the medical records. In case if Medicare asks for more information, then you are required to provide the same for approvals.

The Wheelchair Dealer
The role of the wheelchair dealer or supplier is that they need to cross-check your information for accuracy and authenticity and make sure that Medicare's guidelines and met by your records. In case the information provided is proved to be fraudulent, then the claim will be denied by Medicare and the supplier/dealer may have to absorb the dollar cost of part or the entire wheelchair. Usually Medicare responds within 30 days of papers submission.

Wheelchair Medicare in Home
Medicare pays for a wheelchair when needed for home use only to increase your mobility around the house.

Medicare for Wheelchair payment
Once you have made the choice of your manual wheelchair, most of the time ten monthly rental payments are made by Medicare for the purpose of renting it. Once you choose to purchase one, Medicare will make three more rental payments (13 total rental payments). You are responsible for the 20% coinsurance amount and, for unassigned claims, the balance between the Medicare allowed amount and the supplier's charge for the wheelchair. If you select this option, you own the wheelchair and are responsible for the maintenance.

Medicare for Renting Wheelchairs
At the time of choosing to continue with renting of wheelchair with the supplier, Medicare makes total of 15 rental payments. You are responsible for the 20% coinsurance amount unassigned claims, the balance between the Medicare allowed amount and the supplier's charge. The wheelchair remains yours to use as long as you medically need it; however, the supplier maintains title and ownership of the wheelchair. The supplier is also responsible for the maintenance of the wheelchair.

 

http://www.sourceonewheelchairs.com/wheelchairs-help/wheelchair-medicare.html

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