WC Eval Part II

Question 1

Name the different parts of the seating system (3)

Answer 1

seat back
seat bottom
power and manual functions
-tilt
-recline
-elevation
-elevating, articulating leg rests

Question 2

Name the two types of seating system cushions

Answer 2

custom
-planar/linear
-contoured
commercial

Question 3

Name the 5 types of seating system backs

Answer 3

1. flat foam
2. adjustable tension
3. contoured
4. bi-angular
5. custom molded

Question 4

Name the 6 seating system goals

Answer 4

1. control abnormal tone/reflexes
2. correct or accommodate deformities
3. enhance function/improve control
4. improve comfort and seating tolerance
5. provide pressure relief and skin protection
6. facilitate care

Question 5

Name the 7 wheelchair types/descriptors

Answer 5

1. adult vs pediatric
2. manual/manual assist/power
3. heavy/standard/lightweight/ultra light
4. folding/rigid/standup frame
5. reclining/nonreclining
6. tilting/nontiltin
7. metal/composite

Question 6

Manual wheelchair indications: 2

Answer 6

1. physical limitations not compatible with ambulation
   - cardiopulmonary
   - neurological
   - musculoskeletal
2. Need for increased independence or transport

Question 7

For complex powered mobility, according to medicare mobilization act: “to receive complex powered mobility, the limitation must result form _____”

Answer 7

a neurological condition, muscular condition, or skeletal deformity
- Daniel Levinson, Inspector General 2009

Question 8

5 powered mobility indications:

Answer 8

1. physical limitations not compatible with manual wheelchair mobility
2. Need for increased independence
3. Increased efficiency of mobility
4. spare UE from secondary MSK dysfunction
5. Morbid obesity

Question 9

What three things must be documented in order for the patient to be unable to receive power mobility

Answer 9

1. patient cannot use a cane/walker.
2. unable to push a manual wheelchair
3. unable to use a scooter or other device

Question 10

Medicare requires the following documentation to support power wheelchair claims: (5

Answer 10

1. power wheelchair prescription with the seven elements
2. supporting documentation from medical record
3. specialty evaluation report (complex power only)
4. detailed product description
5. home evaluation

Question 11

Name the seven elements on the seven element prescription

Answer 11

1. Beneficiary name
2. Exam date (must say face to face)
3. Diagnosis and conditions that support the claim
4. item description
5. expected length of time the beneficiary will need the chair (99)
6. prescribing the physician signature
7. prescription date

Question 12

The supplier must receive the seven element prescription within _____ days of the doctors “Face to Face’

Answer 12

45

Question 13

What 8 things must you consider with power mobility to ensure successful for patient

Answer 13

1. physical ability
2. intelligence level
3. age
4. judgement
5. visual/perceptual skills
6. transportability of powered mobility
7. reimbursement
8. patient/family goals