Support Surfaces are the mattresses, overlays, cushions and wedges that support your body in bed or in a chair to reduce or relieve pressure on your skin in order to prevent or heal pressure ulcers.
Group 1 Mattresses
Group 1 mattresses are used to prevent pressure ulcers and treat partial thickness ulcers through Stage II. They can also be used for comfort and pain management.
The Solace Prevention support surfaces help prevent pressure ulcers in low risk patients. It has a softer head and heel foam with denser surface support under the torso.
The CareGuard Alternating Pressure Pump & Pad monitors gradual changes in mattress pressure to promote blood flow and reduce tissue pressure.
Group 2 Mattress
Group 2 matresses are used for therapeutic/pressure relief to treat full thickness pressure ulcers through Stage IV ulcers, myocutaenous flaps and grafts.
The MicroAIR 65is an alternating pressure therapeutics support system with on-demand low air loss, and automatic pressure monitoring.
We have two thicknesses of egg crate pads available – 3″ and 4″. They distribute body weight, reduce pressure, add cushion and comfort, promote restful nights sleep, and provide extra support. They are non-toxic, hypoallergenic, and hospital proven.
Folding wedges elevate the head and torso above the stomach for digestive comfort and to improve breathing and sinus comfort for colds, allergies, and congestion while relaxing muscles and supporting the back. And it folds up for convenient storage.
Help relax tight muscles with contour pillows for better neck and shoulder alignment. Various contours are available.
Insurance coverage should always be verified with one of Rice Home Medical’s customer service representatives. Eligibility can vary by policy plan.
Medicare, and other insurance providers who follow Medicare guidelines, requires that a physician, NP, CNS, or PA has had a face-to-face examination with the patient that documents that the patient was evaluated and/or treated for a condition that supports the need for the prescribed equipment. A Group 1 mattress overlay is covered if one of the following three criteria are met. A written order prior to delivery is also required.
- The patient is completely immobile – i.e., cannot make changes in body position without assistance
- The patient has limited mobility – i.e., cannot independently make changes in body position significant enough to alleviate pressure and at least one of the conditions A-D below
- The beneficiary has any stage pressure ulcer on the trunk or pelvis and at least one of the conditions A-D belowA. Impaired nutritional status
B. Fecal or urinary incontinence
C. Altered sensory perception
D. Comprised circulatory status
A group 2 support surface mattress is covered if the patient meets at least one of the following three criteria:
- The patient has had multiple stage II pressure ulcers located on the trunk or pelvis which have failed to improve over the past month, during which time the patient has been on a comprehensive ulcer treatment program including each of the following:
a. Use of an appropriate Group 1 support surface
b. Regular assessment by a nurse, physician, or other licensed healthcare practitioner
c. Appropriate turning and positioning
d. Appropriate wound care
e. Appropriate management of moisture/incontinence
f. Nutritional assessment and intervention consistent with the overall plan of care
- The patient has had large or multiple stage III or IV pressure ulcer(s) on the trunk or pelvis
- The patient had a myocutaneous flap or skin graft for a pressure ulcer on the trunk or pelvis within the past 60 days, and has been on a Group 2 or 3 support surface immediately prior to discharge from a hospital or nursing facility within the past 30 days
A patient needing a pressure reducing support surface should have a care plan which has been established by the physician or home care nurse, which is documented in the patient’s medical records, and which generally should include the following:
- Education of the beneficiary and caregiver on the prevention and/or management of pressure ulcers
- Regular assessment by a nurse, physician, or other licensed healthcare practitioner
- Appropriate turning and positioning
- Appropriate wound care (for a stage II, III, or IV ulcer)
- Appropriate management of moisture/incontinence
- Nutritional assessment and intervention consistent with the overall plan of care