When it comes to ensuring your loved one receives the right walker at home, navigating the process can feel overwhelming. But don't worry – with a bit of guidance and the right information, you can make this transition smoother and more comfortable for them. Here’s a step-by-step guide to help you through this important process.
1. Gather Your Loved One’s Information
Start by collecting all the necessary details about your loved one. You’ll need:
Name
Date of Birth
Address
Phone Number
Insurance Information (Insurance Company Name)
2. Obtain Medical Provider Information
Next, you’ll need to connect with your loved one’s medical provider. Gather their information, which includes:
Name
Specialty
Address
Phone Number
Fax Number
4. Secure a Prescription for a Walker
Your loved one’s medical provider will need to fill out a prescription for a walker. Ensure your loved one’s medical provider includes the following information:
NPI (National Provider Identifier): [Medical Provider NPI]
Date of Prescription: [Date Prescription Issued]
Reason for Prescription: [Reasons provided by Doctor supporting the need for the walker]
Specific Walker Criteria:
Standard Walker (E0130, E0135, E0141, E0143):
Mobility limitation significantly impairs participation in mobility-related activities of daily living (MRADL) in the home.
Ability to safely use the walker.
Functional mobility deficit can be resolved with the walker.
Heavy Duty Walker (E0148, E0149):
Covered for beneficiaries who meet standard walker criteria and weigh more than 300 pounds.
Heavy Duty, Multiple Braking System, Variable Wheel Resistance Walker (E0147):
Covered for beneficiaries who meet standard walker criteria and have a severe neurologic disorder or condition restricting one hand's use.
Walker with Trunk Support (E0140):
Covered for beneficiaries meeting standard walker criteria with documented medical necessity for special features.
Walker with Enclosed Frame (E0144):
Not established as medically necessary, thus not covered.
Leg Extensions (E0158):
Covered for beneficiaries 6 feet tall or taller.
Final Steps: Provider's Responsibility
Submit the Documentation: While it's important for you to gather all the necessary information, your loved one's medical provider is responsible for submitting the prescription and supporting documents to the insurance company or the appropriate durable medical equipment (DME) vendor.
Follow Up: Check in with your loved one’s provider to ensure the prescription is being processed and to address any potential issues promptly.
Encouragement and Support
Remember, you’re not alone in this process. It’s natural to feel a bit daunted, but every step you take brings your loved one closer to the comfort and care they need. Lean on your medical provider for support and don’t hesitate to ask questions. Your diligence and care make a world of difference.
By following these steps and collaborating with your loved one’s medical provider, you’ll help ensure your loved one receives the appropriate walker to meet their medical needs and improve their quality of life at home.
