New DMEPOS Requirements Go into Effect

Suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) must now be accredited and bonded to qualify for Medicare reimbursement.

Requirements for most DMEPOS suppliers to meet new quality standards went into effect Oct. 1. The $50,000 surety bond requirement went into effect Oct. 2.

To obtain or retain billing privileges, most DMEPOS suppliers must now be accredited by meeting the program’s business and product-specific service and quality standards.

Business standards include:

  • how the company is run;
  • how finances and staff performance are managed;
  • how well the company takes care of its consumers;
  • the safety of their products; and
  • whether the company’s information management systems are in place.

Product-specific service standards include:

  • intake;
  • delivery and setup;
  • training and instruction; and
  • follow-up service.

Suppliers who have submitted applications but who have not yet completed the accreditation review process may not bill Medicare until the process is complete, which could take as long as 60 days.

For those not accredited, a notice must be posted for all to see or an Advanced Beneficiary Notice (ABN) must be signed by each beneficiary prior to being charged for an item or service.

More information about the accreditation and surety bond requirements for DMEPOS suppliers can be found on the Centers for Medicare & Medicaid Services (CMS) Web site

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