Tips & Advice
Adaptive Tricycle Funding Resources
A bike is the quintessence of childhood happiness. But for a child with disabilities, we think it’s a medical necessity. Beyond the joy and exhilaration of free-wheeling movement, the opportunity for reciprocal lower extremity exercise is crucial to the well-being of someone with fragile health. While the therapy community is unanimous on this point, sadly medical insurance companies underestimate...
Tips & Advice
Letter of Medical Necessity Resources
As clinicians well know, writing an effective letter of medical necessity (LOMN) for a piece of adaptive equipment can be challenging and time-consuming. In response to questions about letters of medical necessity for Rifton products, we put together a resource page with tips, tools and sample letters to help facilitate the process.
We are happy to make these LOMN resources available here.
Winning the Funding Battle for Standing Devices
For all of us, standing is an integral part of the developmental sequence. And particularly for people with motor impairments and physical disabilities it is one of the key building blocks that leads to exploratory mobility. (Bower, E.) A child who is unable to stand may be missing out on developmental learning and interaction with the environment. We know the many benefits of standing as well: improved...
Sample Letters of Medical Necessity for the Rifton Dynamic Pacer Gait Trainer
Since the new Dynamic Pacer became available we have been receiving questions regarding funding for this device. Evolving from the previous model of Pacer, the Dynamic Pacer now offers many new additional features including a dynamic upper frame, multi-positioning saddle, arm platforms, utility base (with bigger wheels for rough, outdoor surfaces), and a treadmill base option. To obtain...
Great Outcomes for Adults Who Need Gait Assistance
For children with complex disabilities the transition from school to adult services can be brutal: therapy and equipment that is considered standard in the school suddenly disappears, funding evaporates, and families struggle to bridge the gap. But this is slowly changing. Many healthcare facilities now try to provide a seamless transition into this new stage of life with specialized and comprehensive...
Saving Medicaid Dollars and Improving Care
A small population with huge costs, children with complex conditions and severe involvement require seamless care, and few hospitals can provide that kind of 24-hour coverage on the average awarded Medicaid reimbursements.
However, the St. Joseph's Children's Hospital Chronic-Complex Clinic in Tampa has joined a growing network of hospitals across the country to find a payment formula to cover the...
Tips & Advice
Six Tips for Writing a Strong Letter of Medical Necessity
All of us have struggled one time or another while trying to compose an effective letter of medical necessity for a piece of adaptive equipment. We have all tried to figure out better strategies with our colleagues at work, at continuing education conferences and through social media sites. Below are a few considerations I’ve found helpful.
Make it Unique
First, make sure the letter is individualized...
Sample Letter of Medical Necessity for the Rifton Hygiene and Toileting System
Our most recent offering, the Rifton Hygiene and Toileting System (HTS), facilitates toileting for people with disabilities while at the same time making the task of hygiene care easier for caregivers. Effective toileting not only maintains a healthy bowel and bladder, it makes an enormous difference on a child’s quality of life (as any parent can tell you).
In the past, many toileting routines and...
Letters of Medical Necessity
Rifton TRAM Sample LMN: Adult homecare
Components of a Letter of Medical Necessity for use in the homecare of an adult.
Note: Every reasonable effort has been made to verify the accuracy of the information. However, sample letters of medical necessity are not intended to provide specific guidance on how to apply for funding for any product or service. Health care providers should make the ultimate determination as to when to use a specific...
Funding Assistance for Adaptive Equipment
(Updated May 15, 2017)
Sometimes it can seem impossible to find funding for a piece of adaptive equipment you know will vastly enrich and enhance your child or client’s life. Start by reading the online guides listed below to check that you have tried all the options that may be available to you. In particular, if you are a parent or pediatric therapist, be sure to read Funding Adaptive Mobility...