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Thread: Need cases where Medicare paid for standing frame

  1. #1
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    Need cases where Medicare paid for standing frame

    I'm looking for cases from folks who've had Medicare pay for their standing frames. Medicare has denied my request for an EasyStand Evolve, so I need to prove there's a history of Medicare funding this kind of equipment. If anyone can help me out, please send:

    1) your full name
    2) date of approval
    3) Medicare case number

    Jenny'sMom, would you be willing to send me the info in your daughter's case?

    This is my first time ever on a forum, so I'm not sure how to Personal Message people. Any advice for this newbie is much appreciated!

  2. #2
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    Medicare paid for standing frame precedent
    I'm looking for cases from folks who've had Medicare pay for their standing frames. Medicare has denied my request for an EasyStand Evolve, so I need to prove there's a history of Medicare funding this kind of equipment. If anyone can help me out, please send:

    1) your full name
    2) date of approval
    3) Medicare case number

    This is my first time ever on a forum, so I'm not sure how to Personal Message people. Any advice for this newbie is much appreciated!

    Jim, would you be willing to send me your case info?
    Do you know what HCPC Code was used for your stander?

    I've been using my EasyStand Evolve since May 2011 and loving it! Now I just need to get Medicare to reimburse me.

    This is my first time ever on a forum, so I'm not sure how to Personal Message people. Any advice for this newbie is much appreciated!
    Last edited by SCI-Nurse; 01-23-2012 at 03:40 PM.

  3. #3
    Senior Member ~Lin's Avatar
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    You might need a minimum number of posts on the forum to pm.

    Just a thought, but you might want to find another way to identify people other than medicare case number. I know I would not be willing to give that away to a stranger. Especially combined with full name, I'd be wary to give that to a stranger as well. But at least with full name you may run into someone else with the same one (there was someone in the city where I lived only 2 years younger than me with what my name was before it was changed!) But giving those both out together sounds like asking for fraud.
    Board Member of Assistance Dog Advocacy Project working in Education. Feel free to ask me any service dog questions!

    I am not paralyzed. I have a genetic connective tissue disorder with neuro complications and a movement disorder.

  4. #4
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    ~Lin, thank you so much for replying.

    I know it's a lot to ask someone for their full name and case number, but that's the only way it will count as real evidence at my Administrative Law Judge hearing. I was hoping folks could private message me with that info.

    Any other ideas?

  5. #5
    beatscookin, I don't think it is appropriate to ask for that kind of information, either here or by pm. I agree with Lin, it just doesn't sound right.

  6. #6
    good luck. i worked for 25 yrs post injury. now i can't even get a urocare legbeg which is necessary for my mobility in chr. under work ins. i got two/month. medicare sux. no idea who you are, but you are asking for inappeopriate info on public forum.

  7. #7
    Don't Do It!

    No matter how well-intentioned, do not provide your personal info, including and especially your full name, date of approval and Medicare case #, to this or any other poster. It would be far to easy to steal your identity from such information.

    While I can appreciate you want Medicare to pay for a standing frame for you, beatscookin', there is no need for you to have such info for your own approval or denial. Your physiatrist and a well-written, properly documented rx for your needs offer a better shot than anything anyone else may have gotten.

    Perhaps I'm out of the loop on this, but I've not known of Medicare to pay for the frame. The insurance covers only basics on most wheelchairs.

  8. #8
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    There is one case where Medicare paid for an EasyStand off the EasyStand.com web site. And, there are at least 2 others on this forum who've had standing frames paid for by Medicare, so I know it's possible.

    I appreciate everyone's hesitation in giving out this info. Maybe there's a more confidential way to do it - I'm just not sure how. In a conversation I recently had with Nancy Perlick, the EasyStand funding specialist, she mentioned she's also trying to compile a list where Medicare paid for EasyStands.

    I have all the right documentation together (letter of med necessity from my dr, etc.), but the list of precedence is one more tool in my tool bag. An ALJ judge can decide to make Medicare pay for equipment, even if the plan says they won't, so I think it's worth a shot.

  9. #9
    Well,there you have it,let Easy Stand get you the imfo.Good luck,myself I have problems just getting wheelchair repairs. Things such as Stands,lifts,showerchair ,I've had to tighten up .shop E-bay Craigslist etc. and pay out of pocket.If you were able to buy a new one out of pocket,be happy.With new cut's pending everyday most people are struggleing for basics.

  10. #10
    Senior Member DaleB's Avatar
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    beatscookin,

    Do you know what code (HCPCS) Easystand is claiming Medicare reimbursed on for a standing frame? I might be able to help, with that info. I'm aware of a handful of folks dually eligible for both Medicare AND Medicaid able to get standing frame funding but not through traditional Medicare, alone. The specific codes being billed would make researching historical data much easier. Of course, there are HIPAA rules against doing so.

    Good luck, but you're asking for too much privileged info, as previously pointed out.

    I'm interested in what happens re: your appeal/review. If the merits of your case warrant public assistance for exercise equipment maybe you'll be the one setting precedent for others?

    That would be cool. Lots of people seem to think a frame would be helpful/useful for them to use. (Mine serves mostly as my laundry tree, but that's just me!)

    Cheers,
    Dale

    Quote Originally Posted by beatscookin View Post
    There is one case where Medicare paid for an EasyStand off the EasyStand.com web site. And, there are at least 2 others on this forum who've had standing frames paid for by Medicare, so I know it's possible.

    I appreciate everyone's hesitation in giving out this info. Maybe there's a more confidential way to do it - I'm just not sure how. In a conversation I recently had with Nancy Perlick, the EasyStand funding specialist, she mentioned she's also trying to compile a list where Medicare paid for EasyStands.

    I have all the right documentation together (letter of med necessity from my dr, etc.), but the list of precedence is one more tool in my tool bag. An ALJ judge can decide to make Medicare pay for equipment, even if the plan says they won't, so I think it's worth a shot.
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