To supply Medicare DMEPOS to patients and to obtain and retain a supplier billing number, suppliers must adhere to the DMEPOS supplier and quality standards and accreditation requirements. In compliance with supplier standards, all changes to enrollment information, including products and services provided to Medicare beneficiaries, must be reported to the National Supplier Clearinghouse (NSC) within 30 days of the change. Suppliers that do not report changes timely are at risk of violating these standards and could face revocation of their supplier number.
In a recent update to the CMS MLN Fact Sheet, DMEPOS Accreditation, CMS added the following:
All DMEPOS suppliers must report any enrollment information changes to the NSC within
30 days of the change. This includes DMEPOS accreditation changes.
- Beginning on January 3, 2022, DMEPOS suppliers will receive informational messaging on their remit advice if the supplier is billing for products and services without the appropriate accreditation. DMEPOS suppliers should get accreditation, as required, to avoid future claim submission denials.
- If you believe this messaging is incorrect, review your enrollment to ensure your accreditation information is up to date. For help making changes to your enrollment record, contact the NSC. For help getting accreditation, contact one of the CMS-approved Accreditation Organizations (AOs).
Suppliers should review their enrollment information periodically to ensure accuracy and prevent unnecessary billing issues. The easiest way to do this is online via PECOS (Provider Enrollment, Chain, and Ownership System). To avoid these informational messages, review the products and accreditation information section, as well as the states where items are provided. If changes are needed, update your enrollment file and notify your AO.
Need assitance with enrollment issues? The van Halem Group can help!
Our team of enrollment experts can provide assistance with new enrollment or changes needed to an existing enrollment file. If you recieve a revocation notice, our team can work for you to develop a Corrective Action Plan (CAP) or Reconsideration request to resolve the issues and reinstate your provider number. Contact Us today to see how we can help with your enrollment needs!