Patients and Health Care Providers Burdened by Medicare Cuts

Posted on: September 15th, 2016 by Knueppel HealthCare Services No Comments

On July 1, Medicare cut funding for home medical equipment by upwards of 50-80 percent. The consequences have severely impacted people with disabilities and chronic conditions who rely on medical equipment. Caseworkers and homecare providers are also feeling the effects of the cuts. The stories below have been collected by People for Quality Care and showcase the wide range of stakeholders whose daily living and ability to service patients has been limited as consequence of these drastic reductions in funding for vital home medical equipment and services.

“I don’t have the money for my equipment”

For Rita Thomas of Eclectic, Alabama, Medicare cuts mean cutting back on her CPAP supplies needed to treat sleep apnea. Rita first called People for Quality Care in early July with concerns about her inability to get her CPAP supplies now that her home medical equipment supplier is having to bill patient claims non-assigned; patients must front the difference in what Medicare pays and the cost of the equipment. As of late August, Rita reports that she still has not received her supplies because she is on a limited income and cannot afford them. She tried contacting Medicare, but she said they were not helpful and simply offered to make note of the problem.

“I am very concerned about paying up front for my equipment. My husband and I live on a limited budget and having the money to do so is not an option”

Patient Sleeping Soundly with CPAP

 “No one is taking Medicare anymore”

Beneficiaries are not the only people burdened after Medicare’s funding cuts. Case managers and discharge planners like Kristie L. are having a hard time finding suppliers who still take Medicare patients. Kristie is a physical therapist and case manager from Leominster, Massachusetts, who has called numerous HME providers to find equipment for her patient but has found no one in her area is taking Medicare.

“With Medicare rate cuts and competitive bidding, I am really struggling to find equipment for my patients. I have gone through all my regular channels, and no one is servicing Medicare patients anymore.”

Thank you nurses!

“We don’t want to turn patients away”

“The cuts to HME are not just impacting Medicare patients, but Medicaid patients as well,” explains Cindy Coy, business office manager, at Avera Health in Sioux Falls, South Dakota. The hospital-based home medical equipment provider has already limited its service area because the reimbursement doesn’t cover the extended travel and personnel expenses. They recently had to turn away a pediatric patient in search of oxygen because the child was not in their coverage area. Coy says many hospital-based providers are following suit and shrinking their coverage areas.

As a faith-based business, turning away patients is not easy for Coy.

“We do not want to turn patients away, but if we aren’t fiscally accountable, we won’t be able to take any patients at all. We are doing everything we can to cut costs. We are reviewing vendor contracts, looking at our delivery models, how we service patients – we are looking at everything.”

Knueppel Healthcare Services has also been impacted by the cuts – to the extent we had to close our Mequon, WI branch! Please join us in fighting these severe cuts.

Take Action Now

If immediate action is not taken, the hardships experienced by Rita, Cindy and Kristie will continue. Congress has reconvened and will only be in session until the end of September. To advocate for preserved access to medical equipment, call and send a letter to your legislators asking for immediate legislative relief. Visit People for Quality Care to learn more and to send a letter to Congress about this important issue.

Vionic Footwear – Walk. Move. Live.

Posted on: July 27th, 2016 by Knueppel HealthCare Services No Comments

Knueppel HealthCare Services is now featuring Vionic Footwear, the first of its kind to bring trusted technology and style into one transformative solution. Vionic footwear offers innovative, podiatrist-designed support built seamlessly into contemporary and modern classic shoe styles.



Developed by Phillip Vasyli, the renowned Australian podiatrist and founder of Orthaheel Technology, Vionic Footwear merges unparalleled supportive technologies with versatile, modern design fit for every occasion.


Orthaheel Technology is built into all of Vionic’s sandals, slippers, active shoes, boots and casual flats, helping promote natural alignment from the ground up.  this leading orthotic technology is based on more than 30 years of podiatric success and raving customer satisfaction.


Vionic Footwear


With Vionic shoes from Knueppel, you will feel the benefits of:

  • PERFECT BALANCE due to the firm yet flexible midsole
  • COMFORTABLE SUPPORT as a result of the innovative biomechanical footbed and
  • ESSENTIAL STABILITY provided by the deep heel cup


Vionic Footwear


Do you suffer from foot pain?

Plantar fasciitis is a very common cause of foot pain. The pain is centered under your heel and may be mild at first but flares up when you take your first steps after resting overnight.  It is a dull to severe pain caused by a strain and inflammation of your plantar fascia which is the scientific name for “foot tissue.” When the plantar fascia is excessively stretched, micro-tears can occur, causing this swelling and subsequent pain.


Plantar fasciitis can develop when your feet roll in too far as you take each step. This rolling in, known as over-pronation, can happen for many reasons. It can be due to excessive weight gain, pregnancy, quickly increasing physical activity, tight calf muscles, poor biomechanics or merely wearing unsupportive, flat footwear. When your feet over-pronate, your arches can collapse, putting strain on the tissues in the bottom of your foot.


Vionic shoes are designed with built-in orthotic technology, engineered to support natural alignment and provide relief from plantar fasciitis and heel pain.


A heel spur is another common cause of pain. If it hurts to step on your feet in the morning or you experience a stabbing or aching pain in one or both heels as you walk throughout the day, you may be suffering from heel spurs. Heel spurs are pointed, hooked or shelf-shaped calcium build-ups on the heel bone or calcaneus. While the spurs themselves do not sense pain, their tendency to prod the soft, fatty tissues of the heel can result in severe discomfort with every step you take.


Vionic Footwear


All of the shoes in the active line contain Advanced Motion System Technology, which is comprised of:

  • LIGHTWEIGHT UPPERS with breathable material
  • CUSHIONED OUTSOLES that are flexible yet stabilizing and
  • Podiatrist-designed ORTHAHEEL  SUPPORT



And now you can wear sandals and still get the support you need! Vionic sandals, shoes, boots and slippers are biomechanically engineered to hug your arches, supporting natural alignment.


Vionic Footwear



Vionic has gathered some of the finest minds in lower limb biomechanics and overall wellbeing to form the Vionic Innovation Lab. This group of world-class experts has come together with a common vision to collaborate on innovative solutions to enhance foot health.


And Vionic is the only footwear brand to offer products that have earned the American Podiatric Medical Associations (APMA) Seal of Acceptance.


Vionic Footwear


STYLE THAT MAKES YOUR FEET SMILE. Wearing orthopedic shoes or orthotic inserts is an easy, effective method of naturally realigning the foot. A groundbreaking study shows Vionic shoes and sandals effectively alleviate heel pain. Worn consistently throughout the day, orthotic support is a great first step in the short-term treatment of plantar fasciitis, spurs and fallen arches.


Stop in today at KHS to see the Vionic Shoes Line.  Support You Can Feel. Style You Can See.


Vionic Footwear


Now available at Knueppel Healthcare!

National Mobility Awareness Month

Posted on: May 19th, 2016 by Knueppel HealthCare Services No Comments

KHS is proud to recognize National Mobility Awareness Month 2016! Here at KHS we strive to keep our clients as independent and mobile as possible. Our evaluations, products and services are aimed at keeping mobility a reality, despite the many challenges our clients may face. At KHS our Rehab Techs are certified by the National Registry of Rehabilitation Technology Suppliers (NRRTS) and credentialed by the Rehabilitation Engineering & Assistive Technology Society of North America (RESNA).


We work closely with therapists, physicians and healthcare professionals to provide complex specialty equipment to physically-challenged individuals with significant structural deformities and neuromuscular disorders.


Our Rehab Techs specialize in providing mobility systems, custom seating and positioning systems, ambulatory aids, environmental controls and products for daily living for children, adults and seniors who are living with severe physical challenges. We have years of experience evaluating physically-challenged individuals with the following conditions:


  • ALS
  • Birth Defects
  • Cerebral Palsy
  • Developmental Delay
  • Down Syndrome
  • Mobility Difficulties
  • Muscular Dystrophy
  • Parkinson’s Disease
  • Peripheral Neuropathy
  • Post-Surgical Rehabilitation
  • Respiratory Disorders
  • Spina Bifida
  • Spinal Cord Injury
  • Stroke
  • Traumatic Brain Injury

Life goes on


As far as mobility outside the home and in the community, we share with you the following information from the National Mobility Equipment Dealers Association (NMEDA) which is celebrating the 2016 National Mobility Awareness Month campaign and bringing people with disabilities the mobility solutions they need to live Life Moving Forward. This movement educates seniors, veterans, caregivers, and people with disabilities about wheelchair accessible vehicles and adaptive mobility equipment options available to them to live an active and mobile lifestyle and by raising awareness of the mobility solutions available in your community.


Mobility Solutions

Very few people with disabilities require identical vehicle modifications. After you receive your assessment from your physician, physical therapist and Certified Driver Rehabilitation Specialist (CDRS), locate a mobility equipment dealer that can provide modifications and adaptive equipment to get you on the road to independence.


A CDRS we have worked with in the past is Paul Schmidt who can be reached through:


Minivans have economical gas mileage, are easy to park and permit quick transfers in and out of the driver seat. There are also a variety of minivan manufacturers and models to choose from.

  • Side entry minivans are typically for people in wheelchairs who intend on being the primary driver.
  • Rear entry vehicles are more commonly used for caregivers of a person with a disability.
  • Full-size vans


Trucks and specialty vehicles are available for people with disabilities who would prefer a different mode of transportation. Typically, power lifts will hoist and store wheelchairs in the bed of the truck from either the side door or tailgate. Specialty vehicles such as motorcycles, sedans and convertibles are also available for adapting.


Hand Controls can compensate for decreasing strength and range of motion in the driver’s hands and legs, especially for seniors and those with progressive muscle weakness. Driver evaluators and occupational therapists often recommend a variety of control option and devices.


There are many types of steering aids available that only require the drivers to use minimal effort for steering or are designed specifically for quadriplegics:

  • Steering column extensions
  • Foot steering controls
  • Horizontal steering columns
  • Low effort steering One-hand drive control systems
  • Steering spinners


There are a variety of ramps available and your NMEDA dealer can help identify which type is right for you. There are fold up ramps that fold in half and stow upright and in-floor ramps that slide in a hidden area underneath the vehicle floor. Typically fold-up ramps tend to be less expensive but the in-floor ramps are nicer as they store out of the way. Some additional styles of ramps include:

  • Basic ramps
  • Roll-up ramps
  • Channel or track wheelchair ramps

 3-fold Ramp

Wheelchair lifts for your accessible vehicle are available with a variety of features such as whisper-quiet operation and remote controls, depending on what you need and what you can afford. Although their automation makes them more convenient than ramps, they are more expensive. Other features include:

  • Automatic or electric roll stops
  • Bridging mechanisms
  • Standard hand-held control, on-lift controls and remote controls


Did you know…

  • People with disabilities constitute the largest minority group in the United States
  • One in five elderly have mobility issues
  • There are mobility equipment manufacturers, dealers and driver rehabilitation specialists in your community dedicated to improving the lives of people with disabilities
  • Automotive mobility solutions are available for people with disabilities enabling them to enjoy active, mobile lifestyles


National Mobility Awareness Month is dedicated to showing the world how people with disabilities can live active, mobile lifestyles.


For more information, please contact our Rehab Coordinator Jackie at (414) 258-2800, ext. 147 or visit us at

Lift Chairs: Fashionable Functionality!

Posted on: January 5th, 2016 by Knueppel HealthCare No Comments

For those who suffer from mobility-restricting disorders and neuromuscular diseases such as arthritis, obesity and muscular dystrophy, getting up from a sitting position in a traditional chair can be difficult or even impossible without help. For the elderly and people experiencing mobility limitations, lift chairs can provide more personal freedom and the self-sufficiency needed to help them maintain their independence longer.

In appearance, a lift chair looks just like a normal reclining chair, but it has a very distinct advantage—it allows a mobility-restricted person to get in and out of the chair safely and independently by elevating it to a level that relieves strain on the legs and back.


If you’re searching for a lift chair that is stylish, comfortable and reliable, look no further. Our lift chairs are designed to be a functional and fashionable part of your home décor. Each lift chair is built in the USA for quality and reliability, so you can enjoy it worry-free for many years to come.

No matter what style of lift chair you prefer, Knueppel HealthCare Services is sure to have a model that will meet you specific needs and price range. Our showrooms are stocked with the latest styles, showcasing a variety of color and fabric options. Our sales staff will be happy to help you create a custom order that will best suit your individual needs including comfort-enhancing options like heat and massage.


Talk to one of our lift chair experts for a FREE, NO OBLIGATION lift chair consultation. Comfort and independence with style can be yours!

Practical Holiday Gifts for Seniors

Posted on: December 18th, 2015 by Knueppel HealthCare No Comments

With the challenges of today’s economy continuing to weigh on all our pocketbooks, why not give a practical and useful gift that won’t just sit on a shelf. Knueppel HealthCare Services has numerous items that any senior would truly appreciate.


Lightweight Reachers

Thermal warmers and supports for all the joints




Playing card holders

Playing Card Holder

Lap trays






Shopping carts



Grab bars for safe bathing, with professional installation

Mobility Shower






Shower chairs

Bath Bench

Bath Bench





Additional gift ideas:

  • Bath comfort pillows
  • Beverage holders
  • Book, pen and pencil holders and page turners
  • Cane holders and wrist straps
  • Cold air masks
  • Fashionable Medical ID jewelry
  • Hand-held shower systems
  • Ice pick attachments for canes and crutches
  • Pedicure kits
  • Walker trays, pouches and baskets


“The excellence of a gift lies in its appropriateness rather than in its value” wrote Charles Dudley Warner. KHS carries these items and many more, quite appropriate for your seniors, this holiday season and any time of the year.

Unfortunately, the cold and flu season is here – Fortunately, Knueppel HealthCare has got you covered!

Posted on: November 24th, 2015 by Knueppel HealthCare No Comments

‘Tis the season for family and friends to gather, for good food and for peace and joy. But it is also the season for the common cold and the influenza (flu) virus. KHS can help you survive the inevitable in comfort.

When you need a little comfort care to alleviate your symptoms, come to KHS for a variety of product offerings:

  • Air Clear® Cold air and allergy masks – comfortable, effective protection
  • Cool/Warm mist humidifiers
  • Digital, fast-read thermometers
  • Hand, Neck and Back warmers
  • Ice bags
  • Isagel® no-rinse, antiseptic hand sanitizing gel


  • Lift chairs with heat and massage
  • Parrafin baths – moisturize hands and elbows

Parrafin bath

  • Therapeaz by FrozenPeaz® – sinus/eye masks, joint wraps
  • Thermaphore® deep-heat heating pads

Heating Pad

  • Warm mist vaporizers


  • Water bottles for hot/cold therapy


FreedomAlert Emergency Pendant: Enjoy the Freedom of Independent Living

Posted on: October 30th, 2015 by Knueppel HealthCare Services No Comments

We all care about elderly loved ones being on their own. Now, we can be certain they have a way to communicate with us or professional help in the event of an emergency: FreedomAlert is the world’s first 2-way emergency pendant communicator.

The 2-way feature of FreedomAlert allows users to check in with a friend, get help from a neighbor or communicate with emergency services instantly and efficiently from anywhere in and around the home.


Key Features of FreedomAlert:

  • Never pay a monthly, activation or set up fee
  • Water resistant
  • Rechargeable batteries continually charge in base station
  • Multiple pendants are available

The system can be personalized with the flick of a three-position switch on the base unit to:

  • Call up to four custom contacts
  • Call up to four custom contacts and then the 911 emergency operator
  • Call up the 911 emergency operator

Traveling is never a problem: just unplug the unit from the phone jack and take it along. The unit can then be plugged into the local phone jack with no additional programming needed. And if 911 is called, the local ‘caller ID’ of that location will appear.

As an optional accessory, FreedomAlert has created an Emergency Wall Communicator that can be mounted anywhere to provide additional security when and where you need it. With the majority of falls occurring in the bathroom or bedroom, this accessory can give everyone peace of mind.

Please contact KHS today for more information about FreedomAlert and enjoy the freedom of independent living!

KHS Appreciates Our Seniors

Posted on: August 12th, 2015 by Knueppel HealthCare Services No Comments

Don’t forget that August 21st is National Senior Citizens Day, a day created in 1988 to show our gratitude to seniors for their achievements and contributions to society. KHS wants to give our older US citizens our sincerest thanks and a heartfelt salute.


Senior Citizens Day is a day to:

  • Spend time with seniors
  • Show our appreciation
  • Volunteer to help the elderly

Spending time with seniors gives them valuable companionship and lets them know they are cherished. We can learn about their hobbies and share the details of our favorite activities with them. Perhaps you will uncover a common interest! They will appreciate us showing interest in their lives. 


We can show our appreciation for seniors close to us through a phone call, a visit or a card. Visiting a senior center, assisted living facility, retirement home or nursing home can reach many seniors and help create new friendships.  Sharing fresh flowers and/or vegetables from your garden can really make a senior happy.


On this August 21st, National Senior Citizens Day, we recognize and show appreciation for the value and contribution of older people to our homes, our families and our society. THANK YOU!

A Portable Wheelchair Ramp That’s Quick and Easy to Use

Posted on: July 15th, 2015 by Knueppel HealthCare Services No Comments

When a permanent wheelchair ramp in not practical or available, a portable wheelchair ramp might be the answer.

Singlefold Ramp

EZ-ACCESS and PVI, leading manufacturers of portable wheelchair ramps, have come out with wheelchair ramps that are quick and easy to use with all wheelchairs and scooters.

The trifold-style portable wheelchair ramp, with its unique 3-fold design, offers the length required for wheelchairs and scooters to easily access steps, vehicles and raised landings. The ramp is designed to be used and carried as one unit, or if desired, can be separated into two individual sections.

3-fold Ramp

An innovative hinge design features interlocking brackets to provide smoother operation and reduced pinch points. The ramp features an applied skid-resistant surface with reflective safety stripes, as well as self-adjusting bottom transition plates for easy conversion from ramp to ground. The ramps are manufactured of welded aircraft-grade aluminum.

Special product features:
• Saves the vehicle`s interior for cargo and passenger space
• Bottom transition plates adjust to uneven terrain
• Ergonomically designed handles offer convenient carrying and a comfortable grip
• Separates for transport and Storage
• Folds into a compact unit
• Available in 6 sizes
• No vehicle modifications required
• Built in carrying case on most models
• Weight capacity up to 800 pounds
• Applied non-skid driving surface is ideal for all weather conditions
• Compatible with lift gate and most side-hinged panel door equipped vehicles
• Self-adjusting top transition plate
• Easy removal for storage when not in use
• Made of aircraft quality, high-grade aluminum
• 3-year limited warranty

KHS has all the options you might need for rental or purchase of portable wheelchair ramps. Call us at 414-258-2800, or visit our website at www.http:// and see our ramp options at



What do You Live For?

Posted on: June 18th, 2015 by Knueppel HealthCare Services No Comments

Celebrate and Participate in National Safety Month: Help Save Lives and Prevent Injuries

KHS joins the National Safety Council (NSC) in recognizing National Safety Month. Observed annually in June, National Safety Month focuses on reducing leading causes of injury and death at work, on the road and in our homes and communities. The NSC is a nonprofit organization whose mission is to save lives by preventing injuries and deaths at work, in homes and communities and on the road through leadership, research, education and advocacy. Please read the information, suggestions and ideas below from the NSC to stay safe in and around your home!

Something to Live For

Everyone has something they live to see or experience. No matter what your passion is, we engage in safe behaviors so we can live for what matters to us.

This June, we are celebrating your passions with the theme of “What I Live For.” By providing you with resources such as tip sheets and safety checklists, we can work together on keeping each other safe wherever we are.

This year, we will be focusing on the important topics of prescription painkiller abuse, transportation safety, ergonomics, emergency preparedness and slips, trips and falls.

Fall Prevention Tip Sheet
Most falls are preventable. Many people attribute falls to being clumsy or not paying attention, but many risk factors exist. Risk factors include physical hazards in the environment, age-related issues and health conditions. Addressing the following common hazards can help you prevent slips, trips and falls:

• Keep floors and stairs clean and clear of clutter
• Maintain good lighting both indoors and on outdoor walkways
• Secure electrical and phone cords out of traffic areas
• Use non-skid throw rugs in potentially slippery places, like bathrooms
• Install handrails on stairways, including porches
• Clean up all spills immediately
• Arrange furniture to provide open pathways to walk through
• Periodically, check the condition of outdoor walkways and steps and repair as necessary
• Remove fallen leaves or snow from outdoor walkways
• Be aware that alcohol or other drugs, including prescription and over-the-counter medicine, can affect your balance and increase risk of falling

Older adult falls
Older adults are more prone to become the victim of falls and the resulting injuries can diminish the ability to lead active, independent lives. According to the Centers for Disease Control and Prevention, the following tips can greatly help older adults prevent falls, but are beneficial to those of all ages:

• Stay active: Chances of falling can be reduced by improving strength and balance.
• Fall-proof your home: This includes taking advantage of the tips above and removing all tripping hazards.
• Review your medications: Have your doctor or pharmacist review all the medications you take both prescription and over-the-counter. Some medications or combination of medicines can make you drowsy or light-headed, which can potentially lead to a fall.
• Check your vision: It’s best to have your vision checked at least once a year to make sure you have the best prescription for your glasses. Poor vision greatly increases your risk of falling.

Bath Safety Equipment

Even though they are a commonly trafficked area of the house, bathrooms can be an especially dangerous place. Nearly 200,000 people are injured annually in the bathroom, where water and hard surfaces can make a potentially lethal combination. Fortunately, Bath Safety is a priority at KHS. We suggest making your bathroom safe and accessible by installing grab bars and using any or all of the following simple solutions: elevated toilet seats, toilet safety frames, stand bars, bath lifts, shower benches and rubber bath mats. We can help!

Additional solutions to consider include walk-in tubs, barrier-free showers, accessible sinks and, in the event of a severe fall, a personal medical alarm to wear around your neck. For these and other solutions, we can help!

For additional KHS Bath Safety Products and Information visit:

For additional NSC National Safety Month Information visit: