decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 3 (March)
Accreditation looms for physician DME suppliers
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Article Overview
This article explains upcoming Medicare policy changes that affect physician practices that furnish durable medical equipment (DME). It focuses on accreditation, the relationship to competitive bidding, the timeline and geographic rollout, and practical considerations for practices that may need to decide whether to continue supplying DME, restructure arrangements, or pursue accreditation. The piece is aimed at physicians, practice managers, and coding/billing professionals who handle Medicare DME billing and compliance.
Why This Topic Matters
Physician practices that bill Medicare for DME need to understand whether these changes will affect their operations, compliance obligations, costs, and business arrangements. The article helps readers evaluate the scope of the requirement and the major options being discussed.
Article Sections
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Accreditation requirement and Medicare policy background
Introduces the Medicare DME accreditation issue and the broader federal policy changes tied to it. Discusses how the topic affects physician practices that furnish DME to Medicare patients.
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Timetable depends on your location
Summarizes the phased rollout concept, geographic focus, and uncertainty around implementation timing. Covers the role of metropolitan areas and the relationship to CMS rulemaking.
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Alternatives: Fight or switch
Reviews broad responses available to practices, including changing business arrangements or challenging the policy through regulatory or legislative channels. Also notes professional and compliance concerns raised by stakeholders.
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Resources
Points to CMS resources and referenced organizational lists related to accreditation and quality standards. Serves as a support section for readers seeking official background materials.
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Step By Step: What you should do to get ready for DME accreditation
Outlines general preparation considerations for practices evaluating whether to pursue accreditation. Includes process timing, administrative burden, and the need to review accredited organization options.
What You Will Learn
- How Medicare DME accreditation is being phased in for physician suppliers
- Why competitive bidding is connected to the accreditation discussion
- What types of practices and locations are being discussed in the rollout
- What broad business and compliance options practices are considering
- What general preparation issues are involved in pursuing accreditation
Who Should Read This
- Physicians who furnish DME
- Orthopedic practice administrators
- Medical billing and compliance staff
- Practice managers
- Healthcare consultants
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