Surety Bonds-Medicare Enrollment

For more information, please click above on the title of this post, then click the link  For more information

On December 29, 2008, CMS announced regulations requiring suppliers of certain DMEPOS to post a surety bond as a condition of new or continued Medicare enrollment. The regulation states that beginning May 4, 2009:

  • Suppliers seeking to enroll or changing the ownership of a DMEPOS supplier must submit a $50,000 surety bond for each assigned National Provider Identifier (NPI) for which the DMEPOS supplier is seeking to obtain Medicare billing privileges.
  • Existing DMEPOS suppliers must submit to the National Supplier Clearinghouse (NSC) a $50,000 surety bond for each assigned NPI no later than October 2, 2009.
  • A DMEPOS supplier enrolling a new practice location must submit to the NSC a new surety bond or an amendment or rider to the existing bond, showing the new practice location is covered by an additional base surety bond of $50,000.

Suppliers who have certain adverse legal actions imposed against them in the past may be required to post a higher bond amount. The final regulations permit the NSC to require DMEPOS suppliers to obtain a base surety bond of $50,000 and an elevated surety bond of $50,000 for each occurrence of an adverse legal action within ten years preceding enrollment, revalidation, or reenrollment in the Medicare program.

Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs)

For more information, please click above on the title of this post, then click the link For More Information
 
 
SUMMARY OF CHANGES:
This transmittal provides instructions regarding one new and one revised modifier for use in association with ABNs. It also provides revisions to clarify general non-covered charge instructions for institutional claims and relocates certain benefit-specific information in their associated chapters of the Claims Processing Manual.