Products and Services

Hospital Beds

The patient has a medical condition which requires positioning of the body in ways no feasible with an ordinary bed. Elevation of the head/upper body less than 30 degrees does not usually require the use of a hospital bed.

The patient requires positioning of the body in ways not feasible with an ordinary bed in order to alleviate pain OR
The patient requires the head of the bed elevated more that 30 degrees most of the time due to congestive heart failure, chronic pulmonary disease, or problems with aspiration. Pillows or wedges must have been considered and ruled out OR
The patient requires traction equipment, which can only be attached to a hospital bed (ie trapeze) AND
A semi-electric hospital bed is covered if the patient meets one of the criteria for a fixed height bed and requires frequent changes in body position and/or has an immediate need for a change in body position.

State estimated length of need (# of months)

Oxygen

Prescription w/liter flow that must state frequency (i.e. continuous, nocturnal) and method of delivery.

O2 Sat of 88% of lower

IF TEST DONE OUTPATIENT IN A CHRONIC STATE:

Must be done within 30 days prior to set up
Must have documentation that patient was not sick or in a period of acute illness

IF TEST DONE DURING SLEEP:

Sat must be 88% or below for a total of five minutes
Alternative treatment measurements have been tried or considered and deemed clinically ineffective.

IF TEST DONE DURING EXERCISE:

Must be done 30 days PRIOR to set up.
Documentation of 3 oxygen test results done during the same testing session:

On room air at rest
On room air with ambulation
On O2 with ambulation

IF TEST DONE IN A HOSPITAL

Must be done within 2 days prior to discharge
Must have documentation of discharge date
Make sure H&P is signed by a doctor

Physician Evaluation/Chart Notes within 30 days prior to set up date.

O2 saturation must be documented in chart notes or progress notes. Sats that are only documented on scripts are NOT valid.

State estimated length of need (# of months) 99 = Lifetime

Walkers

Documents must provide ALL of the following criteria:

The patient has mobility limitation that significantly impairs his/her ability to participate in one or more mobility-related activities of daily living (MRADL) in the home AND
The mobility limitation can not be sufficiently be resolved by the use of a cane or crutches AND
The patient is able to safely use the walker AND
The functional mobility deficit can be sufficiently resolved with use of a walker.

OPTIONS:

Rollators (Must have seat and brakes added to the prescription)
Heavy Duty (Patient meets requirements and is over 300lbs)

Wheelchairs

Manual Wheelchairs:

Documentation that the patient has a mobility limitation that significantly impairs his/her ability to participate in one or more mobility related activities of daily living (MRADLS) such as toileting, feeding, dressing, grooming and bathing in customary locations in the home.
Documentation that the patient's mobility limitation cannot be sufficiently resolved by the use of an appropriately fitted cane or walker in the home.
Documentation that the patient can safely use a wheelchair.
Documentation stating that the patient's mobility limitation can be resolved by the use of a wheelchair.

Other services include:

Patient Lifts
Bedside Commodes
Shower Chairs
Nebulizers
CPAP/BiLevel Machines
CPAP supplies

Full Face Mask cushions - 1 per month
Nasal cushions - 2 per month
Headgear/Frame - 1 every 6 months
Tubing - 1 every 3 months
Humidifier chamber - 1 every 6 months