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Inspired by Drive Gait Trainer Letter of Medical Necessity (Sample) 2017-2025 free printable template

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Gait Trainer Letter of Medical Necessity (Sample) J.T. 123 Main Street Anywhere USA 12345 (800) 5552222 Physician: Dr. T. Jones Therapist: B. Smith Insurance: Anthem BC/BS Policy #: 123456789 Secondary
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How to fill out Inspired by Drive Gait Trainer Letter of Medical Necessity

01
Gather patient information including full name, date of birth, and contact details.
02
Provide a detailed medical history of the patient, including any diagnoses that may require the use of a gait trainer.
03
Describe the patient's functional limitations and how they relate to their mobility.
04
Detail the specific reasons for prescribing the Inspired by Drive Gait Trainer, emphasizing its benefits for the patient's condition.
05
Include supporting documentation, such as previous therapy notes or assessments that justify the need for the gait trainer.
06
Ensure to include a physician's signature and contact information at the end of the letter.

Who needs Inspired by Drive Gait Trainer Letter of Medical Necessity?

01
Individuals with mobility impairments due to neurological conditions, developmental disorders, or orthopedic issues.
02
Patients who require assistance to improve their walking skills.
03
Individuals who have undergone rehabilitation and need continued support for gait training.
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What is the difference between a walker and a gait trainer? Compared to a walker, a gait trainer offers more extensive support and is typically used by children who are not able to consistently bear full weight through the legs. These children need additional support to stand and take steps independently.
Gait trainers are walking devices that provide additional trunk and pelvic support. The primary population of children using gait trainers includes children with cerebral palsy (CP) functioning at Gross Motor Function Classification System (GMFCS) levels IV and V.
Compared to a walker, a gait trainer offers more extensive support and is typically used by children who are not able to consistently bear full weight through the legs. These children need additional support to stand and take steps independently.
A gait trainer offers both unweighting support and postural alignment to enable gait practice. It functions as a support walker and provides more assistance for balance and weight-bearing, than does a traditional rollator walker, or a walker with platform attachments.
Benefits of Early Gait Training Promotes joint and bone development. Prevents contractures and increases motion. Improves lung function. Better bowel and bladder function. Better circulation. Decreased constipation. Decreased spasticity. Lower risk of pressure sores.
Gait training can help strengthen your muscles and joints, improve posture and balance, lower your risk of falling, and overall increase your mobility. Gait training is important to help build your endurance and get your legs back and ready for repetitive motion as well as develop muscle memory.

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The Inspired by Drive Gait Trainer Letter of Medical Necessity is a document that outlines the medical justification for the use of a gait trainer, aiming to demonstrate its necessity for a patient's treatment and rehabilitation.
Typically, healthcare providers such as physicians, physical therapists, or occupational therapists who are treating the patient and prescribing the gait trainer are required to file the letter.
To fill out the letter, the provider needs to include the patient's medical history, specific diagnosis, the benefits of using the gait trainer, and other pertinent clinical information that supports the need for the equipment.
The purpose of the letter is to provide a clear explanation of the patient's needs and justify the medical necessity of the gait trainer for insurance coverage and reimbursement.
The letter must report the patient's diagnosis, treatment goals, expected outcomes, the rationale for using the gait trainer, and any previous therapies attempted.
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