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DMEPOS NEWS

CMS annouces the single payment amounts for the first round of bidding
MORE INFO

CMS Announces deadline for second round of Competitive Bidding
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Supplier Anti-Fraud Demo Begins in Florida, California

READ ARTICLE

* As part of the Anti-Fraud Demonstration, CMS will be asking some of the suppliers (including pharmacies) in the 7 counties to become accredited and if they do not do so, they will have their Medicare billing number revoked!

ACCREDITATION ORGANIZATIONS (AO)

FEATURED ARTICLE
DMEPOS Accreditation and Its Impact on
Retail Pharmacy
by Harry Lattanzio

The Medicare Modernization Act of 2003 requires the Centers for Medicare and Medicaid Services (CMS) to set-up Accreditation and Competitive bidding processes for the suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS).  CMS is to phase in these requirements over the next two years.  Specifically, the Act Requires CMS to use a competitive acquisition process (CAP) for setting DMEPOS payment amounts and to approve accreditation organizations (AO’s) to apply quality standards for all DMEPOS providers.
[FULL ARTICLE]

Will appear in the next issue of both PA Pharmacists magazine and America's Pharmacist.

For more information about this program and other dynamic programs we can provide to your organization...We invite you to contact us at
1-800-338-3688.

You'll be amazed at what we can help you accomplish!
 
Mandatory accreditation to supply DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) is required by September 30, 2009. This accreditation is necessary regardless of your participation in competitive bidding. The deadline for pharmacies competitively bidding in the second round is October 31, 2008. The following are PRS Products and Resources to assist you with Accreditation.

ACCREDITATION SERVICES
Network Accreditation Services, Inc. (NASI), a PRS Affiliate, has developed an industry leading, simple and cost-effective solution to this expensive and confusing process.

The NASI DMEPOS Accreditation Program includes:

  • Complete Education ~ DMEPOS Accreditation and Competitive Bidding: What Pharmacy Retailers Need to Know, available on-line or on CD, plus teleconferences and web training.
  • Complete Instructions on Preparation ~ Step-by-step instructions on how to prepare the pharmacy for accreditation and how to meet the CMS Standards.
  • 3-Year User Software License ~ Software contains the standards, policies, procedures, required patient handouts and forms required for accreditation. All patient handouts are in both English and Spanish.
  • Accreditation Specialist ~ Participating group members can use their assigned Accreditation Specialist to answer specific questions on preparing for and maintaining accreditation.
  • Accreditation Organization ~ Included in the cost is the accreditation fee due to the CMS approved Accreditation Organization NASI has selected.
  • On-going Monitoring for 3-Year Accreditation Period ~ The Accreditation Specialist will remain in contact with the pharmacy to assist in maintaining on-going compliance so re-accreditation is made easy.

Interested in becoming a member of this innovative Accreditation Group or need to be in the process of accreditation by May 14th to competitively bid? [PRE-REGISTER NOW]
RETAIL PHARMACY DMEPOS ACCREDITATION PREP PROGRAM (DAPP)
DAPP assists pharmacy owners in preparing for Accreditation!  Learn more about this dynamic program and how it can prepare your pharmacy to meet the standards of your accrediting organization and save you hours in the development of your DME policies and procedures. [MORE INFO]

 
NEWS

March 20, 2008 - CMS Announces single payment for first round of Competitive Bidding. The single payment amount will become the Medicare allowed payment amount for the competitive bidding items for beneficiaries who reside in the CBAs. Consistent with current CMS practice, Medicare will pay contract suppliers 80 percent of the single payment amount for each competitively bid item. The beneficiaries will be responsible for the remaining 20 percent of the single payment amount. To view the single payment amount chart for all product categories, click here. [MORE]

March 17, 2008 - CMS Announces deadline for second round of Competitive Bidding. Suppliers must be accredited or have applied for accreditation by May 14, 2008 to submit a bid for the second round of competitive bidding.  CMS cannot accept a bid from any supplier that is not accredited or that has not applied for accreditation by May 14, 2008. Suppliers will need to be accredited to be awarded a contract.  The accreditation deadline for the second round of competitive bidding is October 31, 2008.  Suppliers must be accredited before this date to be awarded a contract.  Suppliers should apply for accreditation immediately to allow adequate time to process their applications. [MORE]

January 8, 2008 - CMS Announces Next 70 MSAs for Competitive Bidding. The Centers for Medicare & Medicaid Services (CMS) today announced the 70 new areas across the nation that will be part of the second phase of a competitive bidding program designed to help lower Medicare beneficiaries’ out-of-pocket costs and improve their access to certain high quality durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). Ten areas currently participate in the program providing greater beneficiary access to certain DMEPOS, including standard and complex power wheelchairs, walkers, oxygen supplies and equipment, hospital beds and certain devices. [MORE]

December 19, 2007 - CMS Announces Accreditation Deadlines for DMEPOS Suppliers. Section 302 of the Medicare Modernization Act (the Act) required the Secretary to establish and implement quality standards for suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS).  All suppliers that furnish these covered items must comply with the quality standards in order to receive Medicare Part B payments and to retain a supplier billing number. Covered items include DME, medical supplies, home dialysis supplies and equipment, therapeutic shoes, parenteral and enteral nutrient, equipment and supplies, transfusion medicine and prosthetic devices, prosthetics, and orthotics.  The deadlines for accreditation are as follows:

  • Existing DMEPOS suppliers enrolled in the Medicare program are required to obtain and submit an approved accreditation to the National Supplier Clearinghouse (NSC) by September 30, 2009.
  • New DMEPOS suppliers who are enrolled for the first time before March 1, 2008 must obtain and submit an approved accreditation to the NSC by January 1, 2009.
  • New DMEPOS suppliers submitting an enrollment application to the NSC on or after March 1, 2008 must be accredited prior to submitting the application.

Please note that the NSC shall revoke DMEPOS supplier's billing priviledges if the supplier fails to obtain and submit supporting documentation that they are accredited. For more more information, please visit our Medicare Provider-Supplier Enrollment web page.



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FAQS

Here you will be able to search for Frequently Asked Questions regarding DMEPOS Accreditation and what it takes to prepare for it. You will also be able to submit your own questions to our expert staff and have them answered, as well as posted to the FAQ page. [MORE INFO]