Complex Rehab Technology New Business Startup Guide

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U.S. REHAB IS HERE TO SUPPORT OUR MEMBERS AS YOU ESTABLISH A NEW CRT BUSINESS

New provider enrollment can be complicated, challenging, and cumbersome. If a step is overlooked or excluded, you could face a lengthy delay, or your application could be denied altogether. And while the required steps may seem daunting, our team is here to guide you throughout the requirements to ensure successful enrollment and startup of your new business. Whether you’re a self-starter or prefer to leave it to the experts, we’ve got you covered. This guide outlines the key requirements.

For expert assistance, The van Halem Group, a division of VGM Group, Inc., has the expertise and experience you need. They offer members of VGM and all communities, including U.S. Rehab, VGM Live at Home, Essentially Women, and OPGA a discounted rate on all services. They can handle it all or just be an extra set of eyes and ears along the way.

SUPPORT RESOURCES FOR U.S. REHAB MEMBERS

VGM Members-Only Events and Webinars

The van Halem Group Blog

VGM Government Relations Blog

VGM Members-Only Forms and Documents

U.S. Rehab Members-Only Discussion Board

U.S. Rehab ATP Education Information

VGM Playbooks – Quarterly publication of best practices and resources to help you continue to develop your business.

VGM Insurance Surety Bonds

VGM Insurance Home Medical Equipment

Coverage

CHECKLIST: LICENSES, PERMITS, AND APPLICATIONS

You’ll need to complete various applications and obtain several licenses and permits, depending on the services and supplies you plan to provide. Here is a list of items you may need to complete as required by your state and/ or the National Provider Enrollment (NPE):

• DME/HME state license/permit

• City-required business licenses

• Employee identification number (EIN)

• National provider identifier (NPI)

• DMEPOS accreditation

• Medicaid supplier number

• IRS documentation for initial enrollment

• State sales tax permit

• DEA certificate

• Business liability insurance

• Surety bond

• License copies of any licensed/certified employee (e.g., RT, PT, OT, orthotist/prosthetist, certified fitter, ATP)

• Credit agreements or invoices

Note: This list is not meant to be exhaustive. Requirements vary depending on your location(s). Please be sure to check your state and local requirements for operating a CRT business.

STEP-BY-STEP GUIDE TO ENROLLMENT

There are six key steps to completing your enrollment.

Step 1: Obtain DMEPOS Accreditation

The CMS-approved accreditation organization will verify that your business meets the required DMEPOS Quality Standards and conduct periodic, unannounced site visits. Find a CMS-approved accreditation organization.

Step 2: Get an NPI for Each Practice

If you already have an NPI for each practice location, skip this step and proceed to Step 3. NPIs are issued through the National Plan & Provider Enumeration System (NPPES). You can apply for an NPI on the NPPES website. Not sure if you have an NPI for each practice location? Search the NPI Registry.

Step 3: Complete the Enrollment Application

Enroll using PECOS, the online Medicare enrollment system. PECOS has video and print tutorials and will walk you through your enrollment to ensure your information is accurate. Complete the online PECOS application.

Step

4: Pay the Medicare Application Fee

You can pay the fee on the PECOS Medicare Fee Payment page

Step 5: Work With the NPE

The NPE processes all Medicare applications for DMEPOS suppliers. You can check in with the NPE regarding your enrollment status. Contact NPE East or NPE West

Step 6: Post a Surety Bond to the NPE

DMEPOS suppliers are required to post a surety bond in the amount of $50,000 for each NPI they maintain. Post a surety bond

It’s important to keep your enrollment information up to date. To avoid having your Medicare billing privileges revoked, be sure to report any change within 30 days. Changes include but are not limited to a change in ownership, an adverse legal action, or a change in practice location.

If you applied online, you can keep your information up to date in PECOS. If you applied using the paper application, you will need to submit your form to update information.

IMPORTANT RESOURCE SITES

You’ll likely have questions along the way. Below, we’ve compiled a list of resource sites that can help you find the answers to your questions.

How to Enroll as DMEPOS Supplier Accreditation

DMEPOS License Directory by State

Standard #1 of the Medicare DMEPOS Supplier Standards states, “If a state requires licensure to furnish certain items or services, a DMEPOS supplier must be licensed to provide the item or service.” The various state boards or regulating agencies have the final determination as to what license is or is not required. It is the supplier’s responsibility to ensure they are in compliance with all state and federal laws and regulations.

Medicare Resource Site

Access to NPE East and NPE West, Pricing Data Analysis and Coding (PDAC), and Competitive Bid (CB).

NPE East

NPE West

Pricing Data Analysis and Coding (PDAC)

855S Medicare Enrollment Form Application Fee

Medicare Enrollment Fee

Medicare Fee Schedule 2025

DMEPOS PTAN Status Confirmation Request

The following DMEPOS enrollment information may be submitted: Appeals, Certificates of Insurance, Rebuttals Due to Deactivation, Licenses, NPI Letter, Responses to SACU Requests, Surety Bonds, and PAR Agreement.

Supplier Standards List

Abbreviated versions of the supplier standards every Medicare DMEPOS supplier must meet to obtain and retain billing privileges, in their entirety, are listed on NPE East and NPE West.

DMEPOS Quality Standards

Site Visit Preparation for Proof of Supplier Standards

Please review NPE sites for a full list of supplier standards.

• Licensure – All federal, state, and local licensure required to operate your business (Supplier Standard 1)

• Insurance – Certificate of General Liability Insurance showing NPE as the certificate holder (Supplier Standard 10)

• Ownership/Management – Listing of all owners/ management to include names and titles (Supplier Standard 17)

• Surety Bond Agreement (Supplier Standard 26)

• Accreditation Information (Supplier Standard 22)

• Instructions – Documentation for written instruction/information on beneficiary use/ maintenance of supply (Supplier Standard 12)

• Oxygen Licensure – A supplier must obtain oxygen from a state-licensed oxygen provider. The supplier must be able to submit a copy of that provider’s state oxygen license if requested (Supplier Standard 27)

• Warranty Coverage Notification (Supplier Standard 6)

• Rent/Purchase Option Notification (Supplier Standard 5)

• Inventory – Credit agreements or invoices (Supplier Standard 4)

• Complaints – Complaint resolution protocol and complaint log/form (Supplier Standards 19 and 20)

• Signage – Business sign with company name and hours of operation are required to be posted (Supplier Standard 7)

• Accessibility to Physical Site – Physical location must meet all federal accessibility guidelines (Supplier Standards 1 and 7)

For questions about Liability Insurance and Surety Bonds, VGM Insurance is happy to assist.

NPE Online Licensure Submission

Do you need to submit a license, but you don’t want to submit a CMS-855S enrollment application? NPE East and NPE West have created an enhancement to upload a license(s) electronically without submitting a CMS-855S enrollment application via the online tool to submit current licensure documentation to the NPE East and NPE West in PDF format. By simply entering your identifying information in the designated fields, you may attach your licensure documentation and click “submit.” A change of information is not required!

Enrollment Revalidation Site

Medicare providers must revalidate their enrollment record information every three or five years. CMS sets every provider’s revalidation due date at the end of the month and posts the upcoming six to seven months online. A due date of “TBD” means that CMS has not set the date.

Contact NPE East and NPE West.

CRT REQUIREMENTS FOR ATPS

CRT wheelchairs (K0005, E1161, and K0835-K0864) require the following:

Reference: Power Mobility Device LCD and Manual Wheelchair LCD

• The wheelchair is provided by a supplier that employs a RESNA-certified Assistive Technology Professional (ATP) who specializes in wheelchairs and who has direct, in-person involvement in the wheelchair selection for the beneficiary.

• The beneficiary has had a specialty evaluation that was performed by a licensed/certified medical professional, such as a physical therapist (PT) or occupational therapist (OT), or practitioner who has specific training and experience in rehabilitation wheelchair evaluations and that documents the medical necessity for the wheelchair and its special features (see Documentation Requirements section). The PT, OT, or practitioner may have no financial relationship with the supplier.

Reference: DMEPOS Quality Standards

III. Complex Rehabilitative Wheelchairs and Assistive Technology

In addition to Section II: Supplier Product-Specific Service Requirements, the supplier shall:

1. Employ (W-2 employee) at least one qualified individual as a Rehabilitative Technology Supplier (RTS) per location. A qualified RTS is an individual who has one of the following credentials:

• Assistive Technology Professional (ATP); or

• Certified Rehabilitative Technology Supplier (CRTS)

2. The RTS shall have at least one or more trained technicians available to service each location appropriately depending on the size and scope of its business. A trained technician is identified by the following:

• Ability to program and repair sophisticated electronics associated with power wheelchairs, alternative drive controls, and power seating systems

• Completed at least 10 hours annually of continuing education specific to rehabilitative technology

• Experienced in the field of rehabilitative technology (for example, on-the-job training, familiarity with rehabilitative clients, products, and services); and

• Factory-trained by manufacturers of the products supplied by the company

HCPCS to Remember

K0001 – K0005: Standard, Lightweight, and Ultralightweight wheelchairs

K0800 – K0802: Scooters

K0813 – K0829: Group 1 and 2 Standard Power Wheelchairs

K0835 – K0840: Group 2 Single Power Options

K0848 – K0855: Group 3 Standard Power Wheelchair

K0856 – K0860: Group 3 Standard Single Power Options

K0861 – K0864: Group 3 Multiple Power Options

K0868 – K0886: Group 4 Power Options

K0890: Group 5 Pediatric Single Power Options

K0891: Group 5 Pediatric Multiple Power Options

Manufacturers

Power Wheelchairs:

• Permobil

• Sunrise Medical

• Avid Rehab

• Motion Concepts

Manual Wheelchairs:

• Permobil Manual Wheelchairs

• Sunrise Medical

• Ki Mobility, a division of Etac

Pediatric Equipment:

• Rifton

• Permobil Manual Wheelchairs

• Sunrise Medical

• Convaid and R82, divisions of Etac

• Cubby Beds

Accessories and Other items:

• Rolko North America (parts, tires, and accessories)

• Nymbl Systems (billing software and revenue cycle management)

• Harmar (patient lifts, stair lifts, platform lifts, and ramps)

• MK Battery

• RAZ Design (rehab shower chairs)

• Permobil Seating & Positioning (seating and position systems)

• Med-Mizer (bed frames, support services, and tilt-in-space equipment)

• LUCI (powerchair smart technology)

• Braze Mobility

Pro tip: Set up accounts with multiple manufacturers, and use different manufacturers at different times depending on payers in your area. Generally, if a wheelchair costs more coming from the manufacturer, you likely won’t have to repair it as often; therefore, the patient has less downtime, meaning better outcomes and more time for you to focus on your business.

BILLING IN CRT

Considerations for Documentation Review and Billing

There are several areas in the CRT claim submission process.

• Intake (paperwork collection and organization)

– Non-skilled but training required to ensure an efficient process

• Documentation Review – Skilled position with extensive knowledge of CRT policies and procedures

• Billing (data entry) – Skilled position with extensive knowledge of CRT policies and procedures

• Accounts Receivable (Collections) – Skilled position with extensive knowledge of CRT policies and procedures

All of these positions are essential to ensure efficient and effective reimbursement for CRT.

When determining your billing options, there are several considerations that must be reviewed.

• Is there an internal structure for documentation review and billing from within?

• Is there knowledgeable staff with regard to CRT documentation and billing or staff available to train?

• What is the expected volume of dollars per month?

• Is there already a billing software in place, or would software need to be secured?

These are important questions to consider when determining whether to retain documentation review and billing within the company or outsource it.

If the answer to the first two bullets is no, then regardless of the answer to bullets three and four, outsourcing is the probably an option to consider. If the answer is yes to the first two bullets, then there is potential to retain documentation and review within the company.

Documentation review could be outsourced to a company such as The van Halem Group, and the actual billing (data entry with proper codes and modifiers) could be kept within the company. Or pieces could be outsourced.

Regardless of outsourcing documentation review and billing, a supplier will still require intake staff for documentation collection and organization for documentation review and billing.

Other considerations are the costs of knowledgeable CRT documentation review and billing staff, including salary, benefits, vacation, etc. compared to the percentage cost of outsourcing those responsibilities. Look for a company that will charge a percentage of collections and not just billed amounts. This gives them an incentive to do it right the first time, which results in timely and accurate reimbursement.

MARKETING YOUR BUSINESS

Pro tip: Putting up a website and not doing any marketing to drive traffic to it is like putting a gas station in the desert with no roads leading to it. Utilize a search engine marketing or search engine optimization program to make sure your site is viewable to your audience.

Importance of Online Presence

Your current and prospective customers are searching for your services and products online. They may take interest in local companies that can meet their needs. What do you want them to find about your brand? Digital activity has only increased since the COVID-19 pandemic began in 2020. This has forced brands to accelerate all things digital. But what steps do you need to take to make sure your website sets itself apart from your competitors? With these tips, you can build a site and overall online presence that brings in more customers for your business and builds credibility for your target audience, including patients, referral sources, payers, and your community. Your website is your storefront. It is how visitors will either decide to stay or go within fractions of a second. In an increasingly competitive industry, being able to separate yourself from competitors is essential. Your professional online presence should provide your customers with valuable information, including what products you carry, the services you offer, and locations they can visit.

Mobile Friendly Matters

Our smartphones have become a critical tool in our everyday lives. We use them to communicate with our loved ones, order food, and shop online. More searches are performed on mobile devices than ever before, and sites that provide a strong user experience for mobile users will reap the benefits. Make sure your website features a mobile-responsive design that stacks well regardless of the device the user is viewing it on. That means you have a clear design that’s easy to navigate whether your users are using a smartphone, tablet, laptop, or desktop.

Customize Your Product Catalog

If your site includes an online catalog, you have a huge opportunity to separate yourself from your competitors if you are willing to do the work. Most CRT providers use product descriptions directly from the manufacturer. While this ensures correct information, it also means that the content on your site is no different than anyone else. Writing unique, engaging product content that highlights the product’s features and specs with a strong call to action is a great way to make sure your product pages easily stand out.

Actively Manage Online Directories

While Google listings are often used to look up simple things like operating hours and contact information, these listings are also widely used for writing reviews, which can have a huge impact on which business a customer will choose. It’s important to get customers to review just how great you are to help boost your business—but be sure to also keep your Google listing current so people are aware of when and where they can visit you!

Search Engine Optimization

Search engine optimization (SEO) is a key element of any business’s ongoing strategy to attract new customers and/or other target audiences such as payers and referral sources. Some important questions to answer include: Does your site utilize Google Analytics and Google Tag Manager? Does your website offer a strong user experience for mobile users? How fast does your website perform on desktop and mobile? Is your business claimed in online directories where people can write reviews?

Click here for more information.

At VGM, we’re always looking for new ways for U.S. Rehab members to operate more efficiently, increase profitability, and support long-lasting relationships.

VGM’s award-winning marketing company, 2RM, offers a wide variety of marketing services, including strategy, branding, design, content, video, experiential marketing, calling campaigns, and event planning. All offerings are designed utilizing our vast knowledge of your market. Our experts are able to pair your specific needs with the best possible solutions, whether it’s solving common challenges faced by patients and caregivers, maintaining best practices, or introducing a referral source to partnership opportunities.

Learn more about what 2RM can do for your business by visiting www.tworiversmarketing.com.

STAFFING AND PAY STRUCTURES

One key matrix for a CRT company is the staffing and processing for the billing side of the company.

How do you assess this, and how do you monitor it while working to perform at a high level in your production and output?

One item you must review is how many ATPs you have. How is the collection of the information, and how much of the process do they touch?

Your ATP may be a true salesperson who does little of the paperwork and collection of the information and follow up to collect all parts of the process to bill the insurance provider in an accurate and highly consistent level. The key is to have as much time as possible allocated to the sales process and minimal time allocated to paperwork and administrative items. If you have a customer service rep who can allocate their time to these time-consuming items, that would be the best-case scenario.

As your billing staff take on more of the responsibility, they will be able to only process a certain amount of true sales through billing dollar amounts. If you have two ATPs with around $1.5 million in sales, one biller can perform the capacity for this type of group.

As they take on more responsibility and more work, more billing professionals may be required. And if you have a paper processor, like a customer service representative or case manager for your group, then the billing person can process more dollars.

Any biller who is highly efficient and effective can manage $1.1-$2.5 million in billing if you have a good system and software program. As you climb to $2.5$3 million, you may be losing some of the dollars as they may be unable to follow up and process this high level of claims within the process.

The key consideration is balance and using the highly skilled people to their capacity. Meaning you don’t want an ATP tracking down paperwork as that is not a good use of their time. Nor do you want a skilled documentation billing person doing so. If possible, an investment of a good intake (documentation gathering/organizing) person at a lower pay is the best use of resources, thus freeing up the experienced documentation reviewer/biller and ATP to focus on their specialty that is more difficult to find.

It is a benefit to your company to review and develop incentives for billers and case workers to make sure processing claims continues to be effective and efficient.

Incentivizing your staff to work hard and drive revenue is important. You don’t see many ATPs in the field working on salary or hourly wages only. Pushing your ATPs to call on referral sources and building relationships with local physicians, therapists, and rehab centers is important to your bottom line.

Typically, your ATPs and billing staff are on a program to encourage them to make sales, build relationships, and collect money. A base salary package of approximately $50,000 along with an opportunity to make another $50,000 seems to be about the standard of our industry. Paying on gross profit, sales, and collections is your best bet. Service technicians are typically on an hourly wage only because of their scope of work.

Compensation

$110,000

$100,000

$90,000

$80,000

$70,000

$60,000

$50,000

$40,000

$30,000

$20,000

$10,000

$0

Complex Rehab Billing Professional

Analysis

We saw a wide variety of compensation packages for billing and reimbursement professionals, but the common range was $40,000 to $65,000 for a total annual package.

The common pay range for complex rehab service technicians was between $35,000 and $45,000 annually. There are very few technicians getting a commission-based package in our industry.

Pay Structure

Assistive technology professionals are in high demand and are well sought-out professionals in our industry. They serve as both clinical and salespeople. Some ATPs are driven by clinical outcomes and some by compensation. Compensation plans should be developed according to each individual’s drivers. The common range for pay for an ATP is $60,000 to $75,000.

METRICS TO USE

Metrics to become familiar with:

• Evaluation to delivery – Number of days between the initial evaluation and delivery of the CRT equipment

• EBITDA – Earning before interest, taxes, depreciation, and amortization

• Net income – Or net earnings, is sales minus the cost of goods sold, general expenses, taxes, and interest

• Personnel costs as a percentage of revenue –Personnel cost is the total of the employee’s salary/ wage, bonuses, benefits, etc.

• Cost of goods sold – Direct costs of producing the goods sold, including cost of materials and the labor used directly to create the product. This excludes distribution costs, sales force costs, etc.

• Days sales outstanding – The average number of days it takes for a company to collect payment after the sale of equipment

• Cancelled order percentage

• Average delivery per week

• Adult vs. pediatric business makeup

Productivity Standards for Rehab Company

Key Metrics for Productivity

Items to Watch

New Orders With Allowable Charges for Pipeline Control

Cancelled Orders Anywhere in

Repairs Time to Complete This is important to stay ahead of competition.

PRODUCTIVITY STANDARDS

It makes no difference if your business is new or has existed for a great deal of time. Benchmarking and productivity goals and assessments are quite important. In the chart we have provided are some of the most important productivity items that can give you a feel for how your business is running. If you are looking to improve your business, these are also the areas to check how you are performing in each category and how you may work for improvement. Cost of goods is one of the top key elements. If you are not moving at least 50% of a gross margin to other expenses, then you will most likely have a difficult time operating. The next key element is labor rates. You must be competitive in the industry for pay and performance, but you cannot pay too much as a percentage of revenue or you will be out of the game. Each of these items is important in their own way, but the keys to success are purchasing and labor to make your business sustainable and profitable in our current market environment. This works hand in hand with all other aspects like billing, collections, and outcomes for your patient.

QUANTIFYING MARKET OPPORTUNITY KEY TO SUCCESSFUL CRT STARTUPS

Whether starting a new CRT business, or simply entering a new geographic market, data should be at the heart of your business development strategy. Rather than flying blind into a new venture, hoping your projections will take hold, analyzing available market intelligence data can provide greater certainty to your strategic planning and jump start efforts to grow your business. Key market intelligence data metrics to consider include:

Quantifying available market opportunity

• Understanding overall volume of relevant CRT claims/business in your target markets can help quantify market potential, impact specific markets to provide greater sales focus, and set achievable goals for new business development opportunities.

Understanding the competitive landscape

• Understanding the main competitors currently serving referral sources in your target market can have a significant impact on marketing messaging as well as initial target accounts.

Identifying high-value referral source targets

• Being able to shrink down your new market to focus your sales and marketing teams on the top potential referral sources actively referring patients for CRT provides a significant boost to business development efforts, allowing new business startups to target precious resources where you can have the greatest impact.

Analyzing potential payer reimbursement levels

• Commercial payers will represent a significant percentage of your new CRT business. Analyzing what commercial payers are paying in your market and which competitors currently work with key payers allows CRT providers to better understand whether you can create a successful business model with market reimbursement levels.

VGM Market Data provides market intelligence solutions for CRT providers spanning all major product categories and markets across the country. Harnessing the power of market intelligence data in your business planning and market development strategies can significantly increase your ability to capture market share and your timeline to becoming a profitable business.

PAYERS

One of the largest decisions you will make as you get started is identifying which funding sources you plan to go after and make the backbone of your business. As you can see below, Medicare and Medicaid both make up a very large percentage in the complex rehab market space in the U.S.

Another opportunity we encourage you to explore is a relationship with managed care organizations (also known as ancillary service providers) or third-party administrators (TPA).

From a newer provider’s perspective, revenue is going to be one of your top priorities. In order to obtain this revenue, you need to understand the sources it can come from. It may come from retail cash sales or the traditional insurance reimbursement model. With the insurance model comes the process of becoming a network provider with credentialing, accreditation, and contracting components which—if you’re not familiar—can be quite time consuming and cumbersome. In light of that process, there is an opportunity for you to have almost immediate access to many insurance contracts and fee schedules through a relationship with a managed care organization, ancillary service provider, or TPA.

As a valued member of VGM and U.S. Rehab, you have a unique opportunity to become a participating VGM HOMELINK provider. HOMELINK is one of the nation’s largest ancillary service providers connecting patients, providers, and insurers operating in commercial, private, state Medicaid, Medicare, and workers’ compensation markets. Depending on your scope and area of practice, you may be able to become a trusted provider in multiple lines of business with HOMELINK.

As part of this network, you will have access to hundreds of contracts and respective fee schedules that may be more lucrative than if you were to try and contract directly with the insurer. Additionally, with this affiliation, you can use this access to market to your referral sources that you are an “in network” provider with those insurers (through your relationship with HOMELINK).

There are many additional valuable components to being affiliated with HOMELINK, like reduction in administrative costs in the forms of authorizations, billing, collections, and appeals, as well as access to prospective referrals coming directly from HOMELINK within your scope of services.

We recommend you reach out to connect with a representative at HOMELINK today to evaluate if a relationship with HOMELINK is in your best interest.

EDUCATION

You are going to want to make sure your team is well educated from the get-go. It is important your ATPs, billing professionals, and service technicians all have the latest industry knowledge. ATPs are the backbone to your business. Knowledge of disease states, intervention strategies, assistive technology devices, seating and positioning, the CRT business in general, and having an understanding of billing best practices are important to run an efficient business.

Billing practices change all the time. There is a lot of misunderstanding in the marketplace and other tips and tricks to make sure that your team is wellinformed.

Having a timely and effective service technician is important to operating a profitable service

department. With the low reimbursement of repairs and labor, this is a low-profit department, but if you have a top-tier technician with experience and knowledge on products who can work quickly to assess and troubleshoot, this department can be a profitable venture. If your service team is not educated, this is not possible. In-person tech training is preferred. There’s no replacement for hands-on training with equipment, but there are also online options that can be supplementary to this.

Learn more about online and in-person tech training.

GET INVOLVED!

The National Coalition for Assistive and Rehab Technology (NCART) is a non-profit association of leading CRT providers and manufacturers with the mission of protecting and promoting access to CRT for individuals with significant disabilities. Formed in 2004, they are CRT-focused and take the lead in supplying analysis, education, and advocacy on policy and legislation impacting CRT access at the federal and state levels.

In order to ensure access, NCART works with consumers, clinicians, and physicians along with federal, state, and private policymakers to establish and protect appropriate coverage, coding, supplier standards, and payment policies relating to CRT.

NCART has been the leader in establishing a distinct message and a separate identity for CRT on federal and state levels. As part of their education and advocacy work, they have developed strong collaborative relationships with national and state consumer and clinician organizations.

NCART’s leadership, direct engagement, and collaboration with others have resulted in: (a) Medicare Competitive Bidding exemption for CRT power wheelchairs and accessories; (b) introduction and advancement of federal CRT separate benefit category legislation; (c) Medicare Competitive Bidding exemption for CRT manual wheelchairs and accessories; (d) stoppage of payment cuts to CRT power and manual wheelchair accessories; (e) passage of state CRT recognition legislation in eight states; (f) prevention of various state Medicaid CRT cuts;

and (g) resolutions of multiple other Medicare and Medicaid CRT coverage and payment rate issues.

If your company provides CRT, we invite you to consider joining NCART to help fight the negative trends in coverage and payment. Your support will enable them to continue to advocate aggressively on your company’s behalf as NCART works to maintain and establish policies needed to ensure people with significant disabilities and chronic medical conditions can access the specialized equipment and services they require and you provide. For more information, contact Wayne Grau, executive director, at wgrau@ncart.us or 716-839-9728 or visit www.ncart.us.

State Association Map

International Registry of Rehabilitation Technology Suppliers: iNRRTS

U.S. Rehab is here to support our members. If you have any questions as you establish your CRT business, don’t hesitate to contact us.

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