The Comfort Company's Long Term Care product offering is specifically designed for the needs of the geriatric patient. All products are designed to be durable, easily maintained, and easily installed. Hundreds of product options make it easy to find the ideal seating and positioning solution for any patient within a long term care facility.
Premier Comfort was developed by The Comfort Company to provide end users with quality, yet affordable seating and positioning solutions for everyday use. Premier Comfort offers four distinct lines of products to fit a variety of needs.
“Solid Data” Needed On The Negative Impact Of Competitive Bidding
WASHINGTON – Lawmakers in the House of Representatives and the Senate are asking for “solid data” on the negative impact of competitive bidding on Medicare beneficiaries, according to AAHomecare.
As a result, the association is asking providers to collect the following pieces of data:
• Number of calls from beneficiaries regarding Round 2
• Number of callers who have already contracted CMS, and whether CMS addressed the situation
• Number of callers having problems getting equipment through CMS’s list of contracted providers
• Number of callers offering to pay out-of-pocket
• Number of callers who need equipment repaired, including power mobility devices
“We will aggregate the data, remove anything that could identify a specific company and give it to Hill staffers to counter CMS’s outrageous claims that the bidding program is working smoothly and that there are no negative impacts on beneficiaries,” AAHomecare stated.
Additionally, AAHomecare is asking providers to encourage beneficiaries to make three calls to CMS (1-800-Medicare); People for Quality Care (1-800-404-8702); and their members of Congress (1-202-224-3121).
Merging Wheelchair Seating
and Positioning Principles and Component Choices
Comfort Company has released two new dates for our MAXIMIZING FUNCTIONAL INDEPENDENCE SEMINAR in Jacksonville & Orlando Florida this September, presented by Jean Sayre, OTS, COTA/L ATP, CEAC who has extensive seating and mobility experience with a wide nvariety of populations and diagnoses. She has been in the DME industry for over 23 years and has worked specifically in seating and mobility products and her passion for providing her nclients with the greatest possible functional independence, has given her the knowledge to provide detailed educational advice to be utilized by other medical professionals. She will continue to develop and grow The Comfort Company’s educational department which offers CEU approved courses, customer training, and innovative product ideas.
Successful outcomes in wheelchair seating and mobility involve connecting the dots from identifying areas of need through a thorough evaluation to the appropriate seating and positioning techniques, to the equipment and component choices based on the individual’s rehabilitation potential. This process takes into consideration the complex and challenging sensory and motor issues involved in many disabling conditions. When utilized as part of the rehabilitation process, wheelchair positioning can positively impact quality of life and functional capacity. Drawing from remedial and compensatory models of rehabilitation, strategies for wheelchair position- ing to maximize functional outcomes will be discussed. Upon completion of lecture and hands-on lab portions of this course, the attendee will be able to merge wheelchair positioning principles with component choices to facilitate functional movement patterns to maximize independence with completion of activities of daily living.
Innovation In Motion presents wheelchair at Kentucky Speedway
Innovation In Motion presented Nick, a well deserved 13 year old boy from London, Kentucky, an all-terrian power wheelchair at the Kentucky Speedway yesterday, June 27, 2013. The presentation by Rick Michael was televised on The Speed Channel.
Comfort Company is honored to be part of this great donation. Along with Nick's chair, Nick received a Radius Back, one of our general use wheelchair backs (HCPCS Coding: E2611/E2612). Radius Backhas some sleek new features:
Sleek new pad design offers scapular and hip relief for improved range of motion.
New spinal relief design removes pressure from the spine.
Radius Back also has wings to provide lateral positioning and protection from the canes.
Our high resiliency foam comfortably contours to the user's anatomy and the Compass Hardware® allows for easy installation and quick adjustment on the wheelchair.
Radius Back is available sizes 16" - 20" tall and 14" - 24" wide.
*Optional height adjustable lumbar support and cane mounted laterals available.
Fall SIT! Seminar dates - Seating Adaptation Principles
Dates for FALL SIT! SEMINARS have been released. Our spring seminars went great and look forward to the next round with Bengt Engström, P.T. when he hits the East Coast. Bengt Engström, P.T. will be visiting Allentown, PA, Syracuse, NY, Albany, NY and Boxborough, MA.
Hurry register now, limited space available.
Seating Adaptation Principles
with Bengt Engström, P.T.
Welcome to a seminar that will change the way you look at seating! In the morning session you will be guided, in an interactive way, to feel, analyze,and understand why we sit the way we do. The core of our discussion isto make you more aware of what is happening in your body when you sitand why you change your position so often. The afternoon session is for wheelchair users visiting us. Together withwheelchair users we analyze, discuss, and come to conclusions on whatto do. We dig deep into the analysis of quality and design of seatingsystems, like measures, softness, contours, and angles, to discover howdifferent features directly and indirectly influence the entire body.The goal is to better understand what to do and where to begin whenadapting or designing seating systems for people who sit on a long-termbasis. Explanations and demonstrations are made simple and understandable. The more basic principles you know, the more advanced you can be with setting up power and manual wheelchairs.
This program meets criteria for IACET & RESNA certification and is granted 0.7 Continuing Education Units (CEUs) for attendance at 7 hours of education.
DAINES BRINGS HEALTHCARE MEETING TO MISSOULA
On May 21, 2013 I traveled to Washington D.C. with Dan Harrington of Harrington’s Surgical Supply in Butte, Montana. We went there as representatives of Big Sky AMES to meet with the members of Montana’s congressional delegation ahead of the AAHomecare fly-in on May 23rd and 24th. We were able to meet with staff members from both Senator Tester and Senator Baucus’ office as well as meeting directly with Representative Steve Daines in his office.
We were able to present to the delegation facts about competitive bidding and how it will negatively, or in some cases already has negatively affected Montanans. While we were questioned on some of our points, I believe that we are starting to get some change in perspective on this harmful program. The narrative has changed over the past few months from “ We don’t believe there are any problems” to “We are aware of that and we are looking into it”. While this seems like a small change, it is a substantial move from where we were a few short months ago. Congressman Daines was very interested in the things we were able to present to him, and shortly after we left announced he would be co-sponsoring H.R. 1717, the bill to replace the current competitive bidding program.
As a result of the meeting with Congressman Daines, we were also able to get several seats at a sponsored healthcare roundtable in Missoula on May 28th. Big Sky AMES had two representatives at the table where the effects of the Patient Protection and Affordable Care Act were discussed. It is this type of continuing involvement that will help us as an industry make sure our concerns are addressed.
Check out the full article and video at http://www.kpax.com/videos/daines-brings-healthcare-meeting-to-missoula/
Government and Industry Affairs Manager
Custom Orders in 3 minutes or less from anywhere!
We are extremely proud to announce COMFORT DESIGNS and our new custom wheelchair seating ordering software. COMFORT DESIGNS allows you to order a custom wheelchair cushion or back from ANYWHERE within 3 minutes or less. You can order from your phone, tablet or computer for your convenience. Of course the printed form is still an option but we strongly encourage you to try our new software, we are pretty confident you will be as excited as we are.
2013 Walk for Children
Saturday we were proud to be part of WALK FOR CHILDREN event held by Next Door Foundation - Milwaukee
Such a great foundation, check them out.http://www.nextdoormil.org/NextDoor/News-Room/Walk-for-Children.htm
Next Door Foundation (Next Door)is an education and social service center, working with Milwaukee children and families to help build the educational and life skills they need to succeed.
Wheelchair Seat Measurement Guide
To help you make an informed decision on the right size of wheelchair for you, we have produced these guidelines on seat measurement.
Seat measurement is the most common measurement used to determine the correct size of wheelchair to order. The industry standards of wheelchair manufacture are 17”, 18”, 20″, 22″, and 24″ (inches) respectively.
Quantum Rehab/Pride Mobility Partners with Comfort Company to Sell Manual Wheelchairs
Exeter, Pa. – May 14, 2013 – Quantum Rehab® and Pride Mobility Products® Corporation are pleased to announce an exclusive partnership with the Comfort Company. Beginning this month, the Comfort Company will sell Quantum and Pride’s manual wheelchair offerings, including the Stylus® LS, Litestream® XF, Litestream® Junior, and Kids UP® products, across the United States. “Quantum Rehab and Pride Mobility are excited to begin this new business venture with Comfort Company,” said Jay Brislin, MSPT, vice president, Quantum Rehab. “This partnership will allow Quantum/Pride and Comfort Company to capitalize on additional opportunities and improve relationships with therapists and ATPs across the country. It will also strengthen the support available to our providers and allow for increased collaboration on products and services offered.” Working as a team, Quantum and Pride field sales personnel and Comfort Company representatives will be able to deliver onsite support and additional resources for providers to help meet their customer’s daily needs. Quantum and Pride’s inside sales force will continue to process and facilitate Quantum and Pride orders, making this new partnership an uninterrupted transition for providers. “The strategic partnership between Quantum Rehab/Pride Mobility and Comfort Company is a perfect match,” said Evans Innes, vice president of new business development, Comfort Company. “This partnership will ensure that our customers will have access to a full line of industry-leading mobility and seating products. Given the ever-changing and growing needs of our industry, the coupling of the quality and unique strengths of our two companies will ultimately position us to better serve our customers now and in the future”
About Quantum Rehab/Pride Mobility Quantum Rehab®, a division of Pride Mobility, designs and manufactures high-end complex rehabilitation solutions such as power chairs and power positioning seating systems. Pride Mobility Products® Corporation is the world’s leading designer and manufacturer of mobility products including Jazzy® Power Chairs, Pride® Scooters, Pride® Lifts and Ramps, and Pride® Lift Chairs. The company, headquartered in Exeter, Pa., also has operations in Australia, Canada, Italy, the Netherlands, New Zealand, and the United Kingdom. For more information, please visit www.pridemobility.com and follow Quantum and Pride on Facebook at www.facebook.com/QuantumRehab and www.facebook.com/PrideMobilityProductsCorp.
Ryan Chalmer's Journey pushing across America in a wheelchair
It has been 1 month since Ryan Chalmers started his journey across America to raise awareness and give hope to people with disabilites as well as give back to STAY-FOCUSED. He began pushing in Los Angeles and will finish in New York City. Many are following Ryan on his amazing journey, we encourage you to do the same.
Alex Adams from Sports 'N Spokes writes,
“Ryan is doing amazingly well. He’s holding up well both physically and mentally,” says Roger Muller, president and founder of Stay-Focused, a nonprofit leadership organization for teens with disabilities.
Chalmers admits the first week was tough on his body, but says it’s adapting well. Typically around 20 miles into the day his shoulder will begin to cramp, but he says having his athletic trainer on the road with him helps.
He is no stranger to the athletic world. The Paralympian received the SPORTS ‘N SPOKES Junior Athlete of the Year Award in 2007, something he still considers an honor six years later.
“It’s a phenomenal group to be a part of, getting that award,” says Chalmers. He looks forward to the announcement of the next athlete to join the prestigious group when the 2013 Junior Athlete of the Year is chosen this July.SPORTS ‘N SPOKES is accepting nominations for young athletes up to age 18 until June 15, 2013. READ FULL ARTICLE.
Check out the past 3 weeks of Ryan's journey on YouTube.
All New Flexion Footbox™ - wheelchair foot care positioning
Yesterday we released the all new FLEXION FOOTBOX™. We are extremely excited for FLEXION FOOTBOX™ to be part of our foot care product line. Here are a few details.
Lightweight durable aluminum shell.
All surfaces and edges are foam padded.
Easy angle adjustment from 90° to 160° with a single screw.
No mounting slots, customize drill holes to match specific foot plate.
Cover loose enough to slide in foot inserts.
Side cut-out to accommodate angle section in footplates.
Single available in 4 sizes: 5”W, 6”W, 7”W, and 8”W.
Double available in 4 sizes: for 14”W, 16”W, 18”W, and 20” chairs.
Comes standard with Comfort-Tek cover.
CELA Conference Recap 2013
Last week I was privileged to represent Comfort Company at the National CRT Leadership and Advocacy Conference (CELA) jointly sponsored by NCART and NRRTS. The purpose of the conference is to bring together consumers, providers, suppliers and manufacturers of complex rehab products to discuss and advocate for the industry’s future.
The conference included discussions about the future of product development given the current economic climate, current and potential regulatory challenges, reimbursement issues and how the changing demographic picture will affect the industry. The panelists in these discussions provided some very useful insights and fostered some very spirited conversation amongst the attendees.
The main purpose of this conference is to educate and advocate on behalf of the industry a separate benefit category from durable medical equipment. This separate category would be much the same as the separate benefit category for prosthetics, orthotics and supplies that was created several years ago. This recognition of Complex Rehab Technology would help the industry maintain a quality product provided by accredited providers while further helping to protect Medicare/Medicaid from fraudulent activities in the market.
The final session of the conference involved all of the attendees converging on Capitol Hill to advocate on behalf of the industry with their legislators. I was able to attend with Mary O’Connell, a physical therapist from Missoula, Montana. We had meetings with representatives from Representative Steve Daines (R. MT) and Senator Jon Tester(D. MT) as well as a very productive meeting with Senator Max Baucus (D. MT), chairman of the Senate Finance Committee.
While we were in Washington D.C., it was announced that Senator Charles Schumer (D. NY) would be introducing a companion bill in the Senate to H.R. 942, introduced in the House by Representative Joe Crowley (D. NY) and Representative Jim Sensenbrenner(R. WI). This announcement signals a major step forward for the separate benefit recognition as it is the first time a house bill has had a companion bill introduced into the Senate.
Now it is time for the important work. It is up to us as industry professionals and users of complex rehab technologies to make sure our representatives continue to support this effort. Please take the time to contact your Representatives and Senators and make sure they understand the importance of this effort. The fact that there is a bill in both the Senate and the House means for the first time, this effort has a legitimate chance for success. The thing that is missing is your voice, please be heard.
If you have any questions or need additional information on H.R. 942 please send me an email at firstname.lastname@example.org.
Big Sky Homecare Alliance Launch Event Results In Significant Commitments to Action to Protect People Who Rely On Homecare Services and Medical Equipment
Homecare Workers, Durable Medical Equipment Manufacturers and Distributors
Have a “Moral Obligation to Do What is Necessary
To Protect Montanans and Families Who Rely on Homecare”
MONTANA- The Big Sky Homecare Alliance formally launched this week, with significant calls to action from the leaders the Alliance, including the Service Employees International Union 775 NW (SEIU) and Big Sky Association of Medical Equipment Suppliers (AMES).
With congressional staff members participating from the offices of U.S. Senator Max Baucus (D-Mont.), Chairman of the U.S. Senate Finance Committee and U.S. Senator Jon Tester (D-Mont.), the leadership of the Big Sky Homecare Alliance shared concerns and real-life stories regarding the challenges facing homecare workers, medical equipment providers and families who live in urban and rural communities throughout Montana.
At the event, the leadership of the Big Sky Homecare Alliance dedicated itself to continue to fulfill a moral obligation to do what is necessary and important to protect the people and families of Montana -- urban and rural -- from unintended consequences of programs like so-called "competitive bidding" in Medicare and Medicaid.
Two Montana homecare workers, Anna Volkersz and Wendy Gohman, shared personal stories about the importance of having the resources, technology and time to provide the care that their homecare patients require. The leader of the SEIU 775 NW, Jacquie Helt, expressed concern that having more than 2/3 of the homecare workers in Montana living below the poverty level is not a sustainable plan for Montana.
Montana medical equipment manufacturers and equipment suppliers expressed a great deal of concern that rural communities are already suffering and are at great risk. And yet, officials of Medicaid and Medicare officials seem to be blind to the consequences of their pushing forward with programs that are putting Montana's most vulnerable citizens at risk, especially more mature citizens.
Board Members of Big Sky AMES, and the other members of the Big Sky Homecare Alliance committed themselves to working to help pass legislation that will cease and replace so called "competitive bidding" with a common sense solution that protects the interests of taxpayers.
Big Sky Homecare Alliance Panel Participants:
Jacquie Helt State Director of SEIU 775NW Healthcare
Torger Sikveland Government and Industry Affairs, The Comfort Company
Dan Harrington Owner/President of Harrington Surgical Supply
Lorie Lacher Benefis Spectrum Medical
Helen Edwards Owner/President of Dillon Medical
Anna Volkersz SEIU 77NW Member and Homecare Worker
Wendy Gohman SEIU 77NW Member and Homecare Worker
John Gallagher Big Sky AMES, Board Member
The Big Sky Homecare Alliance is partnership of Big Sky AMES, the SEIU of Montana and Idaho and others dedicated to supporting common sense decisions in Washington, D.C. so we can have sustainable, affordable homecare in Montana. Learn more at http://www.facebook.com/pages/Big-Sky-Homecare-Alliance or contact Lindsay Bennett @406.442.3101 or email@example.com for more information.
4-10-13 - National Call-in Day for Complex Rehab Technology
This week NRRTS and NCART are sponsoring a legislative fly-in to Washington D.C. to support an effort to get a separate benefit category for complex rehab technologies. The purpose of this separate benefit is to further recognize the difference between products like the Vicar line of products from routine DME like general use cushions. This separation would hopefully further insulate higher end rehab technologies from the industry killing reimbursement cuts that are currently taking place. As a lead up to the event we are asking for you to call into your representatives and senators to voice support for this measure. Your call will help to make sure that when an on-site participant arrives at the representative’s office, it won’t be the first time that representative has heard the message. Key points of the legislation is the differentiation of Complex Rehab Technologies from routinely purchased DME like general use cushions or standard wheelchairs. Separating the CRT will help protect access, thus guaranteeing that those who need high end rehab products will continue to be able to do so. Our legislators need to hear that not all DME is the same and therefore separating out CRT as was done for Prosthetics, Orthotics and Supplies previously is the right step to take. A separate benefit is not asking for additional spending, it is money that is being spent anyway, it is just giving proper recognition to a class of products in order to preserve its availability down the road should further budget cuts be necessary. Please take the time to call your Representative Monday or Tuesday and voice your support for H.R. 942 and let your Senator know that you would appreciate their support of a similar measure in the Senate. Below is additional information and a link to help you get contact information for your Congressman or Senator. Thank you for your support,
April 10, 2013 - National Call-in Day for Complex Rehab Technology
Do you want to make a difference?
Join with thousands of other concerned citizens to help ensure access for people with disabilities to the Complex Rehab Technology they require.
Mark the date - April 10, 2013 - call your Members of Congress!
Call the U.S. Capitol switchboard at (202) 225-3121. Ask for your Senators' and Representative's Office.
Don't know your Senators' or Representative's name? Click here and enter your Zip Code to find it.
Tell your clients, patients, family, friends, colleagues, and workmates.
Tell anyone else you know who might feel that Americans with disabilities need access to the technology that improves their function, health and enhances the quality of their lives.
Tell them that, for this initiative to be successful, each of them needs to call their Members of Congress on April 10.
Tell them to ask their Members of Congress to support Bill H.R. 942 to establish a Separate Benefit Category for Complex Rehab Technology under Medicare .
Call your Members of Congress on April 10, 2013.Tell them to sign on as a co-sponsor of Bill H.R. 942 to create a Separate Benefit Category for Complex Rehab Technology under Medicare. Tell your Senators to introduce and support a companion Bill in the Senate.
For additional information about Complex Rehab Technology and the Separate Benefit Category initiative please go to www.access2crt.org.
Congressmen Joe Crowley (D-NY) and Jim Sensenbrenner (R-WI) have introduced H.R. 942, the "Ensuring Access to Quality Complex Rehabilitation Technology Act of 2013" to create a Separate Benefit Category for Complex Rehab Technology to protect and improve access to these important products and services for people with significant functional and physical limitations. CRT includes specialized manual and power wheelchairs, seating and positioning devices and other adaptive equipment.
We are asking Congress to create a separate CRT benefit category under the Medicare program and make other needed changes. This would include the elimination of Medicare's “In the Home” restriction for CRT products. Our objective is to improve access for people with disabilities of all ages, whether covered by Medicare, Medicaid or private insurance
More Diagnosis Now Accepted for Skin Protection Wheelchair Cushions
We are pleased to hear more diagnosis are being accepted for skin protection cushions. Comfort Company wheelchair cushions include: Ascent, TruForm and Hyalite®. Read below for more details.
Revision Effective Date: 05/01/2013
COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Added: Arthrogryposis, osteogenesis imperfecta, spinocerebellar disease and transverse myelitis to the list of covered conditions for skin protection seat cushions
Changed: Word "Patient" to "Beneficiary"
ICD-9 CODES THAT SUPPORT MEDICAL NECESSITY:
Added: 323.82, 334.0-334.9, 728.3, 754.89, 756.51 to HCPCS codes set E2603, E2604, E2622, E2623
(Note: The effective date above is not applicable to this section. These revised and added requirements are existing Medicare requirements which are now included in the LCD for easy reference)
Added: Standard language
Revision Effective Date: 05/01/2013
Changed: Word "Patient" to "Beneficiary"
Added: Adjustable seat narrative incorporated from "Change to Wheelchair Cushion HCPCS Codes" originally published 12/14/2004 and reposted by the PDAC August, 2008
Note: The information contained in this article is only a summary of revisions to LCDs and Policy Articles. For complete information on any topic, you must review the LCD and/or Policy Article.
Call to Action!
Let everyone know that they have the power to be agents of change.
Call to Action!
Times are tough! We're all facing seemingly insurmountable challenges. Access to appropriate CRT - Complex Rehab Technology for consumers is threatened. Coverage policies no longer reflect the needs of the people who use CRT. Seating clinics are closing. Funding is decreasing while documentation requirements increase. The Separate Benefit Category for CRT under Medicare, House of Representatives' Bill H.R. 942, is the best solution to most of these problems we face. For more information visit www.access2crt.org.
Consumers, suppliers, clinicians and manufacturers – we’re all in the same boat as members of the Complex Rehab Technology community. We all have the potential to change the future of CRT by acting now!
TWO THINGS YOU CAN DO RIGHT NOW:
Go to http://nrrts.org/petition and sign the petition to urge your Members of Congress to support H.R. 942
Go to http://nrrts.org/email_congress and send e-mail message to you Member of Congress in support of H.R. 942
WITH VERY LITTLE EXTRA EFFORT YOU CAN MAKE AN EVEN LARGER IMPACT!
Help everyone know that they can make a difference. Give them each a Call to Action card. Ask them to follow the two simple steps to contact their Members of Congress.
If you’re a consumer – give one to each of your family members, friends and acquaintances.
If you’re a clinician – give one to each of your colleagues and clients
If you’re a supplier – give one to each of the consumers you serve and to each of your referral sources
If you’re a manufacturers’ rep. – give one to each customer you call on and distribute them during your in-services
If you’re an educator – give one to each of your students and participants in your educational programs.
BE CREATIVE! Give a Call to Action card to everyone and anyone you know who might be willing to help us realize our goal of continued access to Complex Rehab Technology for people with disabilities.
To order Call to Action cards, at no charge to you,
go to http://www.nrrts.org/call_for_action_cards.
If you have questions or desire additional information e-mail firstname.lastname@example.org.
7 Steps to Prepare for Competitive Bidding
6 things to know about a ramp
Things to keep in mind BEFORE you purchase a wheelchair ramp.
A MUST read for all caregivers, wheelchair users and dealers. A PVI specialist explains what to look for before purchasing a wheelchair ramp and why.
Recap: ISS 2013
What a success.
What a success ISS 2013 in Nashville was this past week. Thank you to everyone who took the time to stop by and say hello and check out our new products. We are very excited for the upcoming shows this year has to bring us. Look forward to seeing you all again!
No longer a patient care fight, it's a political fight.
Competitive bidding was authorized by the Medicare Modernization Act of 2003. The intent of this program is to reduce the cost to Medicare and its beneficiaries for inexpensive and routinely purchased durable medical equipment and other related home health items. This is to be accomplished by having suppliers “bid” for the right to supply these items in the designated “competitively bid areas”. The single payment amount would be calculated by designating the mean bid from the accepted bidders as the payment amount, thus saving money for the program and its beneficiaries. There are several flaws in this logic; using the mean as the payment amount means, one half of the winning bidders will be asked to supply goods and services at a rate less than their bid indicated they would be able to meet. Secondly, an established small businessman supplier in the CBA who does not bid low enough to “win” a bid in his home area; effectively sees up to 50% of his current customers unable to do business with him by government fiat. While the competitive bidding program will not be fully implemented in rural areas of more populated states and rural states, the secretary of Health and Human Services is required by this legislation to introduce some configuration of these bid rates to all reimbursements under Medicare. Our industry is working hard to make sure that the goals of the MMA are met, cost savings to Medicare and beneficiaries, while protecting the jobs and businesses of those who provide these services. That is why the Market Pricing Program (MPP) was introduced in the last session of Congress. While the original bill has expired; Rep. Tom Price has indicated he will be introducing to this new session similar legislation to replace Competitive Bidding with the industry supported Market Pricing Program. MPP fixes the biggest flaws by setting payment amounts in the bid areas at the level of the ”clearing bid”, or the bid level at which the last accepted bidder offered to supply service. It also removes the exclusionary element by allowing any willing provider to continue to supply Medicare beneficiaries with goods and services at the designated payment amount in most of the bid categories. As an industry we feel this is a much fairer way to achieve the stated goals of the Medicare Modernization Act, which is to decrease costs while protecting beneficiary interests. So what do we as industry professionals do? Educate. We need to make contact with our customers, friends and neighbors. I know many of us are uncomfortable in the political environment, but unfortunately this is no longer a patient care fight, it is a political fight. Who suffers if we lose this political fight? It will be our customers who lose. We need to educate our federal legislators, state legislators, local legislators and our customers what the impact of competitive bidding will be, how the Market Pricing Program fixes these problems for both Medicare and Medicare beneficiaries. Why do we need to educate our state and local officials about these programs? Because your local officials represent a coalition of constituents to your federal officials. If you can gain the support of your mayor, it is somewhat like having the whole community speaking on your behalf to your congressman and that carries more weight than just a single individual. So schedule a meeting with your mayor or city councilperson, have them come by your place of business and discuss MPP and how it will allow you to continue serving their constituents, your customers.
Torger Sikveland, Comfort Company
Government and Industry Affairs
Introducing the all new Acta-Contour™ Back
Comfort Company is proud to announce the all new Acta-Contour Back.
What your Senator doesn't know about Competitive Bidding
Not sure where to go from here since national competitive bidding's just announced round 2 payment amounts? Take advantage of this wonderful webinar hosted by Mobility Management created especially for providers and clinicians who specialize in power mobility devices. What You’ll Learn:
Round 2 NCB Impact — Medicare’s round 2 PMD payment amounts are out: What impact will they have on providers and consumers?
K0823 Prior Authorization Update — This program is ongoing in seven states — what have we learned so far? What are the main challenges that affected providers are facing?
Audits Everywhere — Learn the most common reasons for denials and what you can do to get paid, keep your money and streamline your funding operations.
Looking Forward: New Face-to-Face Policy — What you need to know about this upcoming policy, including what’s required, what’s not and how it could affect your day-to-day business.