Writing a Letter of Medical Necessity for a Wheelchair

Writing a Letter of Medical Necessity for a Wheelchair Susan Christie, PT, ATP June 2015 2 Objectives Identify 5 components of a Letter of Medical Necessity Explain the Medicare algorithm for MAE (Mobility-assistive Equipment) Give 3 examples of MRADLs (Mobility-related Activities of Daily Living 3 Purpose of the LMN Documents the Medical need for the recommended equipment Allows the payer to understand the needs and authorize the equipment Provides specs for the Wheelchair checkout at delivery 4 Persons involved Client Caregivers Therapist Supplier (ATP) Physician (sometimes on-site) 5 Client Gives an accurate history Indicates his/her needs and desires Participates in discussion of components and strategies 6 Therapist Performs a comprehensive evaluation Documents the evaluation and Wheelchair specs Justifies each component of the chair Follows up as needed 7 Supplier Checks same or similar equipment Provides order forms and information Participates in the selection of the equipment Educates the phy)

-Roho seat cushion, full profile, single valve for adjustable skin protection. She is at risk of pressure ulcers because of her low body weight, inability to perform an effective weight shift, and quadriplegia -Narrow arm bar kit, set at 16” between the armrests -Adjustable height armrest, set at 10” to support her arms

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  Medical, Letter, Necessity, Wheelchairs, Cushions, Roho, Letter of medical necessity for a wheelchair

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