Wednesday, May 15th, 2024 Course Information
Adult Curriculum
Standing for Adults
0.1 CEU

This course will discuss the benefits of standing technology for multiple diagnoses in the adult population, the current supporting evidence, and development of an individual standing program based on clinical evaluation and user’s goals. It will also explore the funding process and tips on documentation for standing technology.

Learning Objectives
  • Describe a minimum of 3 benefits from standing for adults.
  • Identify 3 diagnoses standing should be incorporated into their interventions.
  • Describe the elements of a letter of medical necessity for standing technology.

Maryann Girardi
PT, DPT, ATP
Altimate Medical
Center of Gravity: What Does it Really Mean?
0.1 CEU

Define and examine center of gravity as it relates to manual wheelchair configuration. Review evidence related to configuration and optimal manual wheelchair performance. Explore the impact of vertical and horizontal axle position changes on end user function, safety, and upper extremity health.


Christie Hamstra
PT, ATP
Motion Composites
Eliminate the PAIN POINTS with Wheelchair Accessory Documentation
0.1 CEU

Once medical necessity is established for the wheelchair base there is more to do as each separate accessory MUST be addressed in the wheelchair evaluation. Logic dictates that payers scrutinize the high dollar accessories in both prior authorization and post pay audits. In this session the instructor will outline the coverage criteria for the most denied wheelchair accessories and how to properly document the medical necessity for qualified patients. This includes, tilt, tilt AND recline combo, upgrade electronics, skin protection and or positioning cushions, alternative drive controls, etc.

Dan Fedor
US Rehab

Balancing Function and Independence: Clinical Considerations for Power Adjustable Seat Height and Anterior Tilt
0.1 CEU

Power wheelchairs are designed to augment function when functional mobility is compromised or lost. However, this is not the only benefits that the power mobility systems can provide. There are critical components of this system that also facilitate or improve the end user’s ability to complete functional activities/ADLs, support their physical and mental health, provide independent repositioning for pressure relief, increase tolerance of the seated position, and increase the overall satisfaction of the equipment. These critical components are known as power positioning devices. While there are several different types of power positioning products on the market, this presentation will focus on the clinical benefits of power adjustable seat height and anterior tilt.

Heather R. Price
OTR, ATP/SMS
Quantum Rehab
Elevate YOUR Patients with Seat Elevation!
0.1 CEU

On May 16, 2023, CMS issued the NCD (national coverage determination) for the Seat Elevation System as a covered item under the Medicare benefit. Previously this item was considered not primarily medical in nature and was in a non-covered category.

As of May 16, 2023 date of service (date of delivery) the seat elevation is a covered benefit and is reimbursable under Medicare Part B as well as ALL Medicare Replacement Part C plans. However, as with all wheelchair accessories the beneficiary must meet the coverage criteria. Even when it’s obvious the patient qualifies for an accessory, getting it on paper (or electronically) with the details required for the payer to see the condition is critical for coverage. In this session the instructor will dig into the coverage criteria and outline what is expected in the wheelchair evaluation to ensure those that qualify will receive this LIFE CHANGING accessory. Documentation requirements for new chairs with seat elevation as well as retrofitting existing chairs received prior to May 16, 2023 will be addressed as well.

Learning Objectives
  • Identify qualifications for seat elevation.
  • Determine the documentation requirements.
  • Implement protocol to ensure coverage for qualified patients

Dan Fedor
US Rehab
 

Beyond Drive Control Selection: Maximizing Function and Independence through Programming Options
0.1CEU

Power wheelchair drive controls are constantly evolving with advancing technology. There is a wide range of these products and complex rehab equipment professionals often have limited exposure to the options that are available. This class will provide evaluating clinicians, Assistive Technology Professionals, and other seating/mobility professionals with knowledge of various drive control options and programming options available to provide maximal benefit to the end user,
Heather R. Price
OTR, ATP/SMS
Quantum Rehab
Wednesday, May 15th, 2024 Course Information
Pediatric Curriculum
Pediatric Mobility Solutions: Empowering Participation from Exploration through Proficiency
0.2 CEU
Children have a natural desire to move, explore and learn. When there is a mobility limitation these children have a limited opportunity to explore their environment as compared to their mobile peers and are at an increased risk for secondary delays in cognition, social and emotional development. This course will examine the common reasons why the introduction of mobility assistive equipment and seating solutions is delayed, resisted or not considered and review the research in support of early intervention. A clinical framework will be utilized to help evaluate and select the best mobility option for the pediatric client. This course will also examine ways to assist the child in progressing from exploration with mobility through purposeful use of the recommended equipment.

Heather R. Price
OTR, ATP/SMS
Quantum Rehab
Positioning for Participation and Function: 24-hour Postural Support
0.1 CEU
A 24-hour postural care program provides for seating and mobility intervention as well as when the individual is not in the wheelchair. This session addresses options for alternative positioning, toileting, bathing, and sleeping. Physiological and anatomical theoretical principles will be addressed incorporating how equipment can address an individual’s postural needs.

Learning Objectives:
  • Participants will identify 3 activities that may require support to enhance participation.
  • Participates will be able to list 2 benefits for equipment intervention throughout the day.
  • Participant will identify 2 activities that can accompany the equipment intervention.

Karla Sonderland
MS, OTR/L, ATP
Sunrise Medical
Pediatrics: Don’t Overthink It, Re-Think It for Independent Mobility
0.1CEU
 
Pediatrics! That one word can bring anxiety and apprehension when preparing for a seating and mobility evaluation. Pediatric clients should not be treated as “little adults.” They have their unique mobility, positioning, and social needs. This course will examine growth patterns and the best ways to “build in growth” into the mobility device. Ensuring optimum configuration, we will discuss propulsion training as an essential part of the pediatrics’ prescription process.

Christie Hamstra
PT, ATP
Motion Composites
Standing for Pediatrics
0.1 CEU
 
Weightbearing and upright posture are an important in a child’s growth and development. Children who are unable to stand benefit from the use of standing technology which enables them to safely stand. This course will discuss the benefits of standing, the current evidence available, and implementing a standing program with appropriate technology and the correct dosage.

Learning Objectives
  • Identify 3 impairments common in pediatrics that benefit from standing.
  • Discuss the indications and contraindications for each type of stander.
  • Design a standing program based on the clinical evaluation and goals for a user.

Maryann Girardi
PT, DPT, ATP
Altimate Medical
Thursday, May 16th, 2024 Course Descriptions
Joint Morning Curriculum
Making Power Wheelchairs Smarter: Exploring the Continuum of SMART Technology
 0.1 CEU
Many power wheelchair drivers face a variety of issues related to their independence, safety, efficiency, and accessibility as a result of impaired motor control, visual deficits, impaired reaction time, inattention, and various other deficits that are common among wheeled mobility users. In this course, we will discuss the continuum of currently available SMART technologies that can be incorporated into the power wheelchair to address these issues and improve driver safety, confidence, and independence.
SMART technology is integrated or retrofitted self-monitoring technology for a power wheelchair that provides enhanced, independent mobility to a wheelchair user, is able to collect and report user health and wellness data, and provides connectivity to integrate with the connected world. Throughout this course, we will explore the need for this type of technology, the currently available technology options on the market, and the people who might benefit from these available technologies.

Learning Objectives:
  • Define SMART technologies in the context of power wheelchairs
  • List 3 goals of power wheelchair SMART technologies
  • Describe 3 clinical applications of power wheelchair SMART technologies
  • List 3 research articles supporting the potential need for the incorporation of SMART technology into power wheelchairs
 
Tom Borcherding
LUCI 
Thursday, May 16th, 2024 Course Descriptions
Adult Curriculum
Enhancing function: The power of power assist devices
0.1 CEU
 
Manual wheelchair propulsion can be inherently difficult, and research shows that the longer a person propels a manual wheelchair for functional mobility the greater incidence of pain and repetitive injury; the resulting pain can limit function, reduce participation, and limit life roles of individuals who use manual wheelchairs for their functional mobility. Power assist devices present the opportunity to reduce pain and improve function of clients who utilize manual wheelchairs for mobility. By understanding the different types of power assist devices available; having the ability to identify the appropriate client; and knowing how to apply power assist devices based on clinical presentation, therapists will be able to improve function, reduce pain, and increase quality of life of the people they serve.

Learning Objectives
  • List 3 reasons why a manual wheelchair rider may benefit from a power assist device.
  • Differentiate between three different types of power assist devices and the benefits and considerations for each.
  • Discuss how power assist can improve functional outcomes and participation.
  • Identify 3 components of a power assist device evaluation, delivery/training for successful outcomes.
 
Permobil
The Assessment Process for Seating and Wheeled Mobility
 0.1 CEU

The assessment process for individuals requiring a wheelchair or seating incorporates medical history, home environment, transportation, home environment, MRADLs, physical and functional abilities, skin integrity, sensation, strength, ROM, balance, neurological status, posture in sitting, transfers, ambulation, wheelchair skills, and measurements. Each step of the process will be reviewed providing Information to match findings with equipment recommendation.

Learning Objectives:
  • Participants will identify 3 measurements used to match equipment recommendation
  • Identify 2 angular measurements used to match equipment recommendation
  • Define the term reducible as it relates to posture
 
Karla Sonderland
MS, OTR/L, ATP
Sunrise Medical
Don't Let Reimbursement for Cushions be a Pain in the Ischials
0.1 CUE

Are cushion denials becoming a pain? How about determining how often a cushion can be replaced? Skin protection and positioning cushions are diagnosis (ICD-10) driven within the claims processing system; however, a qualifying ICD-10 is NOT enough for certain diagnoses, and the lack of coverage for a cushion may impact the coverage of the power base! This we session will outline in detail the coverage for skin protection and positioning cushions and how they impact the coverage of a solid seat power base, as well as how often a cushion can be replaced.
 
Dan Fedor
US Rehab
Thursday, May 16th, 2024 Course Descriptions
Pediatric Curriculum
Small Clients, Big Decisions – Approaches in Pediatric Seating
0.1 CEU
It took a very long time for children’s wheelchairs to become commercially available. Once they did,  there were still no ‘off the shelf’ wheelchair seating components available in pediatric sizes. Seat and back supports were custom fabricated, often by clinicians or members of the orthotics & prosthetics department. Various types of foam were glued to plywood and covered with fabric – the start of what was later described as ‘planar seating’. The last 30 years have brought amazing variations to the seating & mobility market. Both manual and powered mobility devices are made in size ranges to accommodate pediatric, adult & bariatric consumer. Likewise, seat surface and back support products are available in a wide range of sizes.
With the range of products and technology available, the seating selection process can be thought of quite differently. True pediatric ‘off the shelf’ seat and back supports allow early intervention which can reduce the development of orthopedic deformities, provide lighter weight options to enhance self-propulsion and offer lower cost options with the benefit of modularity. ‘Planar’ seating components allow custom configured interventions for children whose needs cannot be met with an ‘off-the-shelf’ solution. Molded seating products are often the highest cost and are utilized when the consumers’ needs cannot be met with other interventions.
 

Stephanie Tanguay
OT/L, ATP
Invacare
Building Blocks for Success with Early Intervention Seating & Mobility
 0.1 CEU

There is much evidence supporting early intervention of seating and mobility to facilitate cognitive development, social skills, prevent orthopedic deformities, and maximize function for pediatric wheeled mobility users. While the theory has moved toward independent mobility at earlier ages and manufacturers have focused on seating & mobility equipment specifically for younger consumers, there are several important factors which can lead to successful outcomes with our tiniest clients. This session examines current trends in pediatric seating and mobility with an emphasis on maximizing function and normalizing social interaction.
 
Stephanie Tanguay
OT/L, ATP
Invacare
Leading the way towards independence in pediatric mobility
 0.1 CEU

Occupational therapists, physical therapists, and equipment providers can influence development alongside enhancing mobility by recommending specific technologies. Selecting a pediatric wheelchair can enhance or inhibit self-directed mobility, which in turn can affect other areas of development. When and how mobility devices are evaluated for and issued can promote a child meeting developmental milestones in a range of areas. This course will review human development as it relates to mobility skill acquisition and initial social, language, and perceptual development. Case examples demonstrating implementation of several mobility devices will be presented, including manual and power wheelchairs. Participants will learn specific intervention strategies to use in clinical practice to promote development while enhancing the child’s self-directed mobility skills. An interactive reflective practice component will explore how participants can begin using concepts learned in this course in their clinical practice.

Learning Objectives:
Describe 3 aspects of development that are positively influenced by a child’s ability to participate in self-directed mobility.
  • Explain 4 types of children for whom powered mobility in early childhood would be beneficial.
  • List 3 interventions for introducing early/on-time pediatric mobility.
  • Describe next steps and action plan(s) for appealing a funding source’s equipment denial.
 
Permobil
Thursday, May 16th, 2024 Course Descriptions
Afternoon Curriculum
Primary Support Surfaces for Seating and Posture
0.1 CEU
This course provides education related to primary positioning devices including cushion and back supports and is designed for clinicians stiving to enhance their knowledge and clinical practice. It focuses on the properties/design intent and positioning capabilities of each seating and postural support. While considering common client characteristics, the participant will enhance their knowledge and apply the clinical value and application of each design.

Learning Objectives:
  • Participants will identify 3 characteristics of support surfaces  
  • Define posterior pelvic tilt 
  • Compare and contrast cushions that provide pressure distribution vs cushions that provide positioning

Karla Sonderland
MS, OTR/L, ATP
Sunrise Medical
Alternative Drive Control Evaluation and Selection: Technology for Individualized Solutions
0.1 CEU
 
For many individuals, a standard joystick allows for independent and efficient operation of their power wheelchair, but for others, the use of additional types of drive controls is not only necessary to meet their mobility needs, but can promote health, maximize their independence with daily activities, and integrate alongside other technology.

In this course, we will give clinicians and providers a framework to aid in the evaluation, selection, and setup of alternative drive controls to help individuals achieve an optimal and individualized technology match. The terminology and applications discussed in this course will be applicable to a variety of power wheelchairs and devices that are commercially available. Case examples and hands-on demonstration will be used throughout the course alongside technical and clinical discussions of different alternative drive controls to provide an understanding of the key factors and clinical considerations that impact drive control selection, setup, and use.

Learning Objectives:

  • Identify 6 key factors of the alternative drive control evaluation.
  • Discuss the relationship between ability and technology as it relates to creating a good person-technology match.
  • Compare the functional and technical characteristics of proportional versus non-proportional drive controls.
  • Describe 3 clinical considerations for drive control setup and how they can impact drive control selection and functional outcomes
 
Permobil
Documentation LIFE Preserver UPDATED 2023
0.2 CEU
 
Documentation for mobility products consumes so much time for both the LMCP (PT/OT) and the CRT supplier and in most cases more than actually treating the patient.
The amount of documentation required is overwhelming and there just doesn't seem to be enough time during the day to give them what they expect. While this is necessary in order for those that qualify to receive the medically necessary items does it have to consume so much time? The answer is NO, as these payers have internal requirements and are driven by more than just the written policy.
In this interactive workshop participants will gain insight into health insurance plans documentation requirements to STREAMLINE the process for mobility products and related accessories (seat elevation, tilt, tilt and recline, upgraded electronics, skin protection and positioning cushions, power assist, etc.).
The instructor, a former Director at Medicare, will share the internal thought process of health insurance plans which will outline what they need in order to approve a claim for qualified patients.
This course will teach attendees how to effectively and efficiently document and review for medical necessity for mobility products in order to reduce the time spent on writing and reviewing documentation.

Learning Objectives
  • Identify key requirements that must be clearly documented in the wheelchair evaluation with consideration of health insurance reimbursement
  • Recognize how health insurers think and how to speak (write) their language so they understand what you see in your patient
  • Connect the dots in the wheelchair evaluation to ensure your patient receives the medically necessary product in a timely manner
 
Dan Fedor
US Rehab
PRESENTERS
Dan Fedor, BS, US Rehab
Dan has worked in the HME industry for over 29 years and currently serves as the director of reimbursement for U.S. Rehab a
division of The VGM Group Inc. Dan joined VGM in 2014 and before that was the director of education and compliance for Pride
Mobility Products/Quantum Rehab for 13 years. Prior to joining Pride, Dan served as a senior manager for provider outreach
and education and electronic data interchange for the Jurisdiction A DME MAC (Travelers Insurance and United Healthcare) for
nearly six years. He currently sits on the Medicare Council and has presented at numerous local and national events regarding
Medicare compliance and reimbursement including, Medtrade, Heartland Conference, ISS, RESNA and for multiple state
association meetings. Dan is a graduate of Penn State University where he earned a BS in Economics.
Sarah Lusto, PT, MSPT, ATC, ATP Permobil
Sarah is a physical therapist and the regional clinical education manager for Permobil in the mountain region. Prior to joining
Permobil in 2021, Sarah worked at the Kessler Institute for Rehabilitation where she gained extensive experience in neuro
rehabilitation. At Kessler, she served as the inpatient wheelchair team lead and a member of the outpatient wheelchair clinic.
She has lectured for numerous occupational therapy, physical therapy, and medical residency programs and was a faculty
member for Kessler’s PT Neuroresidency program. She has also presented at ASCIP and the International Seating Symposium.
Sarah is a current member of RESNA and the APTA Assistive Technology/Seating and Wheeled Mobility SIG.
Heather R. Price, OTR, ATP/SMS Quantum
Heather R. Price is a regional manager at Stealth Products. She also provides clinical education to therapists and DME providers as a member of the Quantum Rehab Education Team. Previously, in clinical practice, Heather gained experience in wheelchair seating, positioning, and mobility at two nationally ranked rehab hospitals, TIRR Memorial Hermann in Houston and Shirley Ryan AbilityLab in Chicago. At TIRR, Heather was an occupational therapist on the inpatient spinal cord injury team. She gained extensive experience in prescribing custom wheelchairs, training, and seating and positioning. As the wheelchair skills and management specialist at SRALab, Heather helped develop a new program for inpatient clients of all ages with a variety of diagnoses. The program featured extensive wheelchair trials, evaluations, and instruction on advanced wheelchair skills.
Maryann Girardi, PT, DPT, ATP Altimate Medical
Maryann is the Clinical Education Specialist at Altimate Medical, Inc. She has been a PT for over 40 years and an ATP for 27 years.  She has worked with adults and pediatrics with neuromotor disorders in a variety of settings and roles including primary therapist, seating and positioning specialist, CRT sales and reviewer for the state Medicaid program.  She has presented nationally and internationally on standing technology, service delivery and client specific interventions.
Christie Hamstra, PT, ATP Motion Composites
Christie is a Physical Therapist and ATP who first worked in the wheelchair industry, as a seating therapist, then a supplier, and now full time as a Clinical Education Specialist for Motion Composites, a manufacturer of ultralightweight manual wheelchairs and seating.  In this role, Christie develops content and provides education around the world on best practices in complex rehabilitation technology, focusing mainly on ultralightweight manual wheelchairs and seating and positioning prescriptions.  
Christie brings her passion and expertise in wheelchair prescriptions to every client interaction from pediatrics to geriatrics, as well as mentorship and encouragement to other clinicians.  She also shares her enthusiasm for all things complex rehab technology with future physical therapists as an annual guest lecturer at two Michigan universities. 
Christie has presented at many regional and international conferences on three different continents including the International Seating Symposium, Canadian Seating and Mobility Conference, European Seating Symposium, Oceanic Seating Symposium and Assistive Technology Suppliers Australia expo. Christie loves to travel and see new places with her favorite traveling companion, her husband Chris. Christie has three kids and a giant Greater Swiss Mountain Dog named Goose who is as silly as his name.
Karla Sonderland, MS, OTR/L, ATP
Karla Sonderland graduated with a master's degree in Occupational Therapy from the University of Mary in North Dakota. She has 20 years of experience with a focus on individuals with intellectual and developmental disabilities. She brings to the team her knowledge and understanding of providing 24-hour care to individuals with multiple caregivers as well as helping individuals transition to alternate living arrangements with optimal assistive technology to ensure their safety and participation. Karla lives with her husband and three children in Iowa and manages the Midwest Clinical Education program.
Tom Borcherding
Tom is an industry veteran, serving over 35 years in the CRT industry, spanning sales, education, and leadership positions at Everest and Jennings, ROHO, Permobil, and now LUCI. Tom’s experience has led to a global perspective of the CRT industry and the clients for whom we serve.
Tom currently serves as Senior Vice President, Business Development, for LUCI Mobility where he is responsible for national sales and education. He has been a member of LUCI’ senior leadership team since joining the company in September 2020.

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