Monthly Archives : February 2013


Pharmacy News: Medicare Re-Enrollment

calendarPharmacy Owners: Did you know that within the next 2 years you will be required to re-enroll with Medicare?

Read on to see how this will affect your pharmacy.

Between now and March 2013, your MAC will be sending you a revalidation request, so watch the mail for your notification!

When you receive the re-validation (re-enrollment) request, providers and suppliers, you have a limited amount of time to submit completed enrollment forms. Although you may be thinking, I should just take care of this now,  according to CMS, you shouldn’t submit your Medicare re-enrollment until you are requested by your DME-MAC.  BE SURE that you follow the directions in your letter to stay in compliance with the request.

It is extremely important that you take care of your re-enrollment in a timely manner.  Why? If you don’t, you will lose your Medicare number, whether you care Accredited or not.  And the process of getting it back could take up to ONE YEAR!  This could mean a loss of not only DME sales, but your customers could take their other prescription and OTC business elsewhere.  DON’T LET THAT HAPPEN TO YOU!

If you have  questions on Medicare Re-enrollment, give Palmetto (NSC) a call at 1-866-238-9652.


Pharmacy News: Medicare Enrollment Revalidation

r252188_1038084medicare1Pharmacies have lost their Medicare numbers because they didn’t revalidate their enrollment when notified.

Don’t Let It Happen to You!

Recently, a few pharmacies have come to my company asking for help because they did not revalidate their Medicare enrollment when the National Supplier Clearinghouse sent them a Revalidation Letter. As a result, their Medicare numbers were revoked.

You may remember from my October 28, 2011 blog posting that all pharmacies with Medicare provider numbers are going to have to re-enroll, or re-validate, their provider information within the next two years. Recently, CMS extended this revalidation period to 2015.

The pharmacies asking for help, claim that they did not receive their revalidation notification.

Be sure you haven’t missed this important communication from the NSC before it is too late. CMS has published all of the facilities to whom they’ve sent Revalidation Letters. Go to:

You can search the list to see if your facility is on it.

If you don’t file your re-enrollment documents correctly, completely, and on time, there’s not much you can do to speed up your reinstatement. If you can prove that your number was revoked in error, and you’ve appealed unsuccessfully to the NSC, you might ask your member of Congress to intervene.

Harry Lattanzio | PleaseNoteDon’t be confused by the word “revalidation.” Accredited pharmacies need to revalidate their DMEPOS Accreditation before it expires. This is entirely separate from the necessity forall Medicare suppliers to revalidate their enrollment when CMS tells them to.


Pharmacy News: HIPAA Compliance Can No Longer Be Ignored.

hP2-300x225Can you believe that it has been almost a decade since the HIPAA laws were put into effect?

And like many pharmacy owners, has your HIPAA Policy and Procedure manual  sat on your book shelf and collected dust?

Well things are changing, and NOW is the time to make sure you have reviewed your HIPAA Policy and Procedure Manual, make all the necessary updates and amendments and, most importantly, be sure you are following the Policies and Procedures laid out in the Manual.

Why?  One word — AUDITS.

As part of the American Recover and Reinvestment Act of 2009(ARRA), specifically the HITECH Act, the Office of Civil Rights (OCR) is required to perform periodic audits of a covered entities HIPAA Compliance Program. To accomplish this, the OCR has contracted with KPMG LLP (KPMG) to conduct performance audits of covered entities, including pharmacies. As part of the initial pilot audit program, KPMG will be auditing a total of 150 covered entities this year between June and October.

According to KPMG, “the objective of the Performance Audits is to 1) analyze the key processes, controls or policies relative to selected requirements of the Rules as specified in an audit protocol established by the OCR, and 2) to provide our observation.” These audits will be performed both on-site and off-site.

Based on notices already sent out by KPMG, the on-site audits could take up to a week and will be scheduled with you or your staff. During the on-site audits, KPMG will:
• Meet with key members of your organization responsible for your HIPAA Compliance.
• Collect verbal and documented information related to your HIPAA Compliance.

Prior to an on-site audit occurring and to assist with the smoothness of the audit, KPMG does request that no later than 15 days after their documentation request is received, you provide them with certain documentation related to your compliance.

Please remember that KPMG is acting on behalf of the U.S. Department of Health and Human Services (HHS) and as such will not enter into any non-disclosure agreements with a covered entity.

Stay tuned as I cover the basics of HIPAA Compliance in the weeks to come.