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Friday, April 24, 2009

DME MAC A News for April 24, 2009 - Weekly Updates

 
NHIC, Corp.DME MAC A ListServeFor Immediate Release
April 24, 2009


Weekly What's New

The following publications have been posted to the DME MAC A What's New page:
  • Informational Sessions Scheduled May 4, 5 & 11, 2009 Regarding CMS' Recovery Audit Contractor (RAC) Program (CMS Message 2009-04-25)

  • Centers for Medicare & Medicaid Services Special Open Door Forum: Medicare Provider & Supplier Enrollment, April 30, 2009 (CMS Message 2009-04-24)

  • Statement on the DMEPOS Competitive Bidding Program Centers for Medicare & Medicaid Services (CMS Message 200904-23)

  • Supplies and Accessories Used With Beneficiary Owned Equipment - April 2009 Clarification

    For more information visit:

    http://www.medicarenhic.com/dme/dme_whats_new.shtml 
 
 
Statement of DMEPOS Competitive Bidding Program
Centers for Medicare & Medicaid Services
CMS Message 200904-26

The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), enacted on July 15, 2008, made limited changes to the competitive bidding program for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS), including a requirement that the Secretary conduct a second competition to select suppliers for Round 1 in 2009.  The Centers for Medicare & Medicaid Services (CMS) issued an interim final rule with comment period (IFC) on January 16, 2009.  The rule incorporates into existing regulations specific statutory requirements contained in MIPPA related to the competitive bidding program.
The Administration delayed the effective date for the IFC to allow CMS officials the opportunity for further review of the issues of law and policy raised by the rule.  Based upon its review and on the need to ensure that CMS is able to meet the statutory deadlines contained in MIPPA, the Administration has concluded that the effective date should not be further delayed.  The rule will become effective tomorrow, April 18, 2009.  However, there will be no immediate effect on the Medicare DMEPOS benefit and Medicare beneficiaries may continue to use their current DMEPOS suppliers at this time.
During the comment period, CMS received many suggestions by a range of stakeholders to make further improvements to the competitive bidding program, such as ensuring that CMS's processes for collecting and evaluating bids are fair and transparent.  In the upcoming weeks, CMS will be issuing further guidance on the timeline for and bidding requirements related to the Round 1 re-bid.  In finalizing these guidelines, CMS will continue to seek input from all affected stakeholders to ensure program implementation consistent with the legislative requirements.


 
DMEPOS Supplier Accreditation - Time is Running Out
Deadline is September 30, 2009
CMS Message 200904-29

Time is running out for suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) who bill Medicare under Part B to obtain accreditation by the September 30, 2009 deadline or risk having their Medicare Part B billing privileges revoked on October 1, 2009.  While the accreditation process takes on average 6-7 months to complete, the process could take as long as 9 months to complete.  Accordingly, DMEPOS suppliers should contact an accreditation organization right away to obtain information about the accreditation process and submit an application.
In order to retain or obtain a Medicare Part B billing number, all DMEPOS suppliers (except for exempted professionals and other persons as specified by the Secretary) must comply with the Medicare program's supplier standards and quality standards to become accredited. The accreditation requirement applies to suppliers of durable medical equipment, medical supplies, home dialysis supplies and equipment, therapeutic shoes, parenteral/enteral nutrition, transfusion medicine and prosthetic devices, and prosthetics and orthotics. 
Pharmacies, pedorthists, mastectomy fitters, orthopedic fitters/technicians and athletic trainers must also meet the September 30, 2009 deadline for DMEPOS accreditation.  Certain eligible professionals and other persons as specified by the Secretary are exempt from the accreditation requirement. 
Further information on the DMEPOS accreditation requirements along with a list of the accreditation organizations and those professionals and other persons exempted from accreditation may be found at the CMS website: 
http://www.cms.hhs.gov/MedicareProviderSupEnroll/03_DeemedAccreditationOrganizations.asp .

 
 
  
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