CenterIce

Ps apparently everything was in order from home health agency (that is what i was told) the hold up was with the DME company...

Thank you so much all for taking the time to share info. UPDATE: you guys are right.....I was really frustrated so I asked the patient to call their insurance to find out the facts about getting the air matress. So they did and the medicare said the bed is 100% covered because she already has a hospital bed. So the next day taa-daa...air matress. Patient and family very happy! Thanks again hppy, Leigh, Carrie!!! Your support definetely helped me find a solution!

Leigh, this sounds odd but I did call the wound care specialist, they have no problem in writing what ever is needed but I was told by my company that they needed the primary doctors script. Does any of this make sense or is it home health laziness?

Thank you for the feed back. The patient has medicare D coverage and medi-cal. Hppy...do you know if medi-cal will approve the air matress. The primary doctor has been great and very concerned as to why her pt doesn't have a matress yet. The primary doctor already wrote a script to the home health agency over a month ago and just the other day said to let her know what more she needs to do. I felt like an idiot in telling her what I was told by the company I work for. I may be wrong but I looked up medi-cal coverage for air matress and if I understood correctly, it said all that is needed is a doctors script?!

I have a patient with a stage four coccxy wound, regularly see's wound care specialist once a week (also has ulcers on foot), primary doctor wrote a script for air loss mattress but home health agency is saying it is being denied....why?! Please help my patient. The reason told why matress is being denied is because the wound has to be covering 25% of pt trunk. (Wound is 1cm wide). Thanks for any advice or explanation..