How to Become a Medicare DME Supplier
If you want to become a Medicare DME supplier of DMEPOS items, follow the next five steps. For more detailed information on Medicare Enrollment Guide for DMEPOS suppliers, visit the CMS website .
1
Complete the DMEPOS Accreditation Process
A CMS-approved accreditation organization needs to verify you meet the required DMEPOS Quality Standards. Read about the supplier standards here. This organization will also conduct unplanned, occasional site visits.
To find an accredited organization
2
You will Need an NPI for Each Location
If you don’t have one already, you will need to apply for an NPI for each practice location. NPI’s are issued through the National Plan & Provider Enumeration System, and you can apply on their website .
3
National Supplier Clearinghouse (NSC) Stay in Contact with the
The NSC handles all DMEPOS supplier applications. You can check with them for your enrollment status.
5
Post a DMEPOS Surety Bond
You will need to post a $50,000 surety bond to the NSC. The surety bond could be a higher amount if you have more than one NPI you maintain. The U.S. Department of the Treasury maintains a
What We Do
- We will email a PDF Form for you to compete that has all the basic information for the application
- We will guide you through preparing all mandatory documents that must be sent to Medicare with the application. This includes the new Surety Bond requirement. We will review these to make sure that they meet Medicare’s requirements.
- We will prepare the CMS 855S Application and the CMS 588 Electronic Funds Transfer Form, and send them to you, along with a cover letter addressed to Medicare listing the application and all attachments. The application will be complete including the attachments.
- You will be responsible for paying an application fee to Medicare and attaching the receipt to the application. Instructions for paying the fee online will be emailed to you.
- There will be instructions regarding how to send the application to Medicare. Only your review and signature will be required. There will be copies for your file.
- We will follow up with Medicare on the status of your application and help prepare and expedite any additional information that is requested
- Medicare conducts a site visit for all new DME suppliers. We supply all the information you need to meet the requirements of the site visit and DME standards.
- Once you receive your DME approval, we supply Medicare’s current policy documents and arrange one-on-one training with you and your staff.
- You and your staff will have access to our Medicare DME information and required manuals as required by CMS, providing up to date information on Medicare policies and procedures and all other required documents and forms necessary for supplying medical equipment and supplies to Medicare beneficiaries.
Contact Us
The Need for Specialized Billing Agencies
We have collaborated with Pedors Shoes with the billing process for providers in the diabetic footwear sector. Through an interview, company President Stephen O’Hare shared his opinion on the need for billing agencies based on his experience with his business.
Many qualified and critical Pedorthists have gone out of business due to the recession. On top of this, there were recent additions to documentation requirements for diabetic shoes and inserts that made providers discontinue the business because of their fear denials and audits. As result, patients needing diabetic shoes no longer have access to this product.
For Pedors Shoes, our expertise in DMEPOS billing can help in addressing the shortfall in the number of qualified providers which can reduce the denial of claims drastically.