Medicare Fully Electric Hospital Bed

A Medicare fully electric hospital bed allows a person’s body to be positioned at different angles and heights that is not common with a regular bed. It also allows special medical equipment (such as a monitoring equipment or saline bags) to be connected to the bed as well. Medical beds also make it easier for patients to get out of their beds in a safe and practical manner and they are also great for performing duties such as bathing and cleaning.

Medicare will help people with the cost of these beds but only under certain rules. To start, Medicare considers electronic hospital beds as luxury items. However, they will pay up to 80% for the cost of this style of bed but only if a doctor is a part of the Medicare program and the supplier is approved in their network, like Towson Medical Equipment. Also, Medicare will cover the cost of the bed if a person needs to rent this type of equipment.

Medicare’s Policy on Beds

This type of bed has to be rented for 13 months. Once the 13-month deadline is reached, Medicare claims that the bed is now owned by the patient and they will no longer provide coverage for the item. These are some basic rules for getting a Medicare fully electric hospital bed. You can find out more from our knowledgeable sales reprentatives about your unique situation.

Medicare Fully Electric Hospital Bed

Get PDF Here: Fully Hospital Bed Order Form

 

Included in this package:

• A full electric frame (head, feet and overall height= electric)
• Bed rails (half length or full length)
• Mattress

 

If the patient has MEDICARE only (Part B):

Please note that this is a rental for 13 months

Please expect a co-pay of $65.75 per month

 

 

Included in the Required Paperwork Packet:

• A detailed written order
• A face to face form
• A list of what Medicare requires be addressed in chart notes

 

 

*All paperwork must be completed by same provider.

 

*Provider must be PECOS certified

PATIENT: DOB:

ADDRESS:

PHONE: ( ) – SOCIAL SECURITY #: xx

EFFECTIVE DATE: 7/16/15

ICD-10 DIAGNOSIS CODES: _____________________________________________

ICD-9 DIAGNOSIS CODES:

DESCRIPTION OF ITEM: ELECTRIC HOSPITAL BED

LENGTH OF NEED: 99 (99 = lifetime)

I, the undersigned, certify that the above prescribed items are medically necessary as part of my treatment plan for this patient and have not been prescribed as a convenience.

PHYSICIAN:

ADDRESS:

PHONE: ( ) – FAX: ( ) –

NPI #:

SIGNATURE: ___ DATE:

FACE TO FACE FORM

PATIENT: DOB:

ADDRESS:

CITY, STATE, ZIP: ,

PHONE: ( ) – SOCIAL SECURITY #: xx

EFFECTIVE DATE:

ICD-10 DIAGNOSIS CODES: ________________________________________

ICD-9 DIAGNOSIS CODES:

DATE OF FACE-TO-FACE EXAMINATION: ___

DESCRIPTION OF ITEM:

LENGTH OF NEED: (99 = lifetime)

I, the undersigned, certify that the above prescribed items are medically necessary as part of my treatment plan for this patient and have not been prescribed as a convenience.

PHYSICIAN:

ADDRESS:

CITY, STATE, ZIP: ,

PHONE: ( ) – FAX: ( ) –

NPI #:

SIGNATURE: ___ DATE:

INSURANCE REQUIRED DOCMENTATION

PLEASE PROVIDE CHART NOTES (NOT THIS SHEET) THAT ADDRESS ALL OF THE FOLLOWING THAT APPLY:

1. The patient has a medical condition which requires positioning of the body in ways not feasible with an ordinary bed. Note: Elevation of the head/upper body less than 30 degrees does not usually require the use of a hospital bed. OR
2. The patient requires positioning of the bed in ways not feasible with an ordinary bed in order to alleviate pain. OR
3. The patient requires the head of the bed to be elevated more than 30 degrees most of the time due to congestive heart failure, chronic pulmonary disease, or problems with aspiration, OR
4. The patient requires traction equipment, which can only be attached to a hospital bed.

AND

1. The patient requires frequent changes in body position and/or has an immediate need for a change in body position

 

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