Good Afternoon,
I have a patient that just received a power wheelchair and they also want a
prosthetic device (K2, Above Knee Amputation, Medicare is the primary
insurance, medicaid secondary). I am not able to find any information as
to if they can have both. According to the Medicare representative I spoke
with, it is all based on medical necessity. When I asked for examples of
what would qualify a patient for both, the representative only said it
would be determined at the time the claim is submitted. I’m concerned it
would be an automatic denial and have to go through the appeals process.
Any thoughts, advice or experiences would be greatly appreciated.
Thank you!
*Stephanie Sheedy*
President
Monroe BioTechnology, Inc.
920-435-3002
https://urldefense.proofpoint.com/v2/url?u=http-3A__www.monroebiotech.com&d=DwIBaQ&c=sJ6xIWYx-zLMB3EPkvcnVg&r=KmuawjwNpT9A2bnhzaNVjw8wO7L_TDosEXIk33h_tlw&m=iKEpitfW9u6NqdW4G-UkLbeAPyKyrSKtd6OEku-WTVc&s=oIQQLQY87sXz92K1Vc_6VQwZzv7CwVMrQsI13j3cod4&e=
email: [email protected]
