Dear Seating and Mobility Professional,

There is an ongoing dispute among insurance providers about the uses and medical benefits of standing wheelchairs, and correspondingly, an ongoing dispute for third party funding for payment of these items.  Information you can provide is greatly needed to assist in this dispute.  This short survey is intended to gather information and link data about the medical benefits of wheelchair standing aids. 
Please take five minutes to complete the below survey.
Thank you in advance for your assistance.
Lorri Bernhardt, PT, MPT, ATP
Mary Ellen Buning, PhD, OTR/L, ATP/SMS
Cathy Carver, PT, ATP/SMS

Question Title

* 1. My professional background (check all that apply)

Question Title

* 2. My highest academic degree is:

Question Title

* 3. My Certifications (check all that apply)

Question Title

* 4. My years of practice related to the evaluation of wheelchairs and seating

Question Title

* 5. I received this survey via

Question Title

* 6. The primary clinical setting I have worked in for the last 12 months (Choose one)

Question Title

* 7. Diagnoses of clients I evaluated in the last 12 months (Check all that apply)

Question Title

* 8. Approximate number of wheelchair evaluations I completed in the last 12 months:

Question Title

* 9. Approximate number of wheelchair evaluations I completed in the last 12 months in which the client would medically benefit from using a standing wheelchair.

Question Title

* 10. Approximate number of wheelchair evaluations I have completed in my professional career in which the client would medically benefit from using a standing wheelchair:

Question Title

* 11. Diagnoses of clients I evaluated in the last 12 months who would medically benefit from a standing wheelchair: (Check all that apply)

Question Title

* 12. Select the outcomes that you have reported to health benefits funding sources (public: e.g., Medicare, Medicaid, Tricare; or private: e.g., insurance policies or health benefits plans) that establish the medical necessity for a standing wheelchair. (Choose all that apply)

Question Title

* 13. Rank the importance of outcomes that are reported to health benefits funding sources (public: e.g., Medicare, Medicaid, Tricare; or private: e.g., insurance policies or health benefits plans) that establish the medical necessity for a standing wheelchair.  (Rank the answers 1=Most Important; 14=Lease Important)

Question Title

* 14. Approximate number of standing wheelchairs delivered from my recommendations in the last 12 month using client's health benefits funding sources(s) [public (e.g., Medicare, Medicaid, Tricare) or private (e.g., insurance policy or health benefits plan)]:

Question Title

* 15. Approximate number of standing wheelchairs delivered from my recommendations in the last 12 month using client's self/cash pay as funding source:

0 of 15 answered
 

T