decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 5 (May)
CMS: DMEPOS supplier enrollees now must be accredited
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Article Overview
This article covers CMS guidance affecting DMEPOS supplier enrollment, accreditation, and participation in Medicare payment and competitive bidding programs. It is relevant to physician practices, orthotic and durable medical equipment suppliers, billing staff, and compliance professionals who need to understand the general accreditation timeline, related administrative steps, and the separate competitive bidding framework. The article also references official CMS resources, accreditation organizations, and practical considerations for practices evaluating supply arrangements.
Why This Topic Matters
The piece matters because it highlights a Medicare enrollment issue that can affect whether supplier applications are approved and whether a practice can continue billing for DMEPOS items. It also helps readers understand how accreditation requirements and competitive bidding can impact operational planning and vendor arrangements.
Article Sections
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DMEPOS accreditation requirement and enrollment timing
This section discusses CMS enrollment and accreditation expectations for DMEPOS suppliers and the timing considerations described for existing and new suppliers.
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Accreditation process and practical considerations
This section outlines general steps mentioned for working with accrediting organizations and preparing for the accreditation process.
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Stock and bill is an alternative
This section describes an alternative supplier arrangement that some practices may consider and notes general financial and operational considerations.
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Competitive bidding: Physicians are exempt
This section summarizes the article’s discussion of Medicare’s competitive bidding framework for certain DME items and the types of items referenced.
What You Will Learn
- How CMS ties DMEPOS supplier enrollment to accreditation
- What general planning issues practices face when pursuing DMEPOS accreditation
- How accreditation relates to supply arrangements and competitive bidding discussions
- What broad categories of DME items are discussed in connection with competitive bidding
Who Should Read This
- Physician practices
- DMEPOS suppliers
- Orthopedic practices
- Medical billing and coding professionals
- Practice managers
- Compliance staff
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