Wheelchair Approval tips?
I’m going this afternoon for a wheelchair seating evaluation to start the process of getting a wheelchair–my first one, I’ve always used a scooter until now–again. I say again because I did an evaluation last year around this time too. But because of all kinds of weird paperwork stuff, my insurance denied me twice. They never even looked at the medical necessity. They made up some rules (I have medicare, not medicaid) that aren’t actual medicare rules, but when we tried to appeal, they kept making up other excuses why they couldn’t consider it. They even lost some paperwork I sent them and said I never sent it in, but when I proved I did, the person said they found it, but then that person magically disappeared and there was no record that they found it in their computers. So now I’m starting all over.
I know one mistake I made last year was assuming everything was going normally. I knew the process was going to take a while, so I never checked up on things until it was too late. For some reason, the wheelchair provider (DME supplier) didn’t do anything for 3 months after my evaluation and I’ve never been told why. I did my eval in July and nothing was submitted to insurance until late October. So I know at least now to keep on their case to move things along and not just assume they’re doing stuff.
Is there anything else that I should look out for? I never even got to fighting about the medical necessity part of it, is there anything there I need to be aware of?