Durable Medical Equipment Resource Blog
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The National Government Services Jurisdiction B Medical Review Department recently conducted a prepayment targeted medical review of Knee Orthoses. This is a widespread random selection of submitted claims based on a targeted service(s) from multiple suppliers which are reviewed for medical necessity.
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Dear Valued DJO Customer,
Although Medicare has launched an awareness campaign regarding PECOS to the provider community, we have found that many of our customers are unaware of this initiative. Therefore, we are providing this information directly to our DJO customers as a service to you.
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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 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.
Protecting Your Privacy, Protecting Your Medicare Enrollment Record
IMPORTANT MEDICARE INFORMATION
Dear Valued DJO Customer,
We are writing to advise you of Medicare’s new initiative to help protect your Medicare enrollment information by updating your records in the Provider Enrollment, Chain and Ownership System (PECOS). Although Medicare has launched an awareness campaign regarding PECOS to the provider community, we have found that many of our customers are unaware of this initiative. Therefore, we are providing this information directly to our DJO customers as a service to you.
Have you enrolled in Medicare or updated your Medicare enrollment information within the past 5 years?
If you enrolled more than 5 years ago and have not submitted any updates to your Medicare enrollment information, you will need to update your Medicare enrollment information in PECOS now.
Why is it important to DJO that you are aware of this campaign and that you update your records now in PECOS?
As of April 5, 2010 – Medicare will not pay DJO, or any other supplier of durable medical equipment, prosthetics, orthotics, and supplies (“DMEPOS”), for any DMEPOS items you order for your Medicare beneficiaries if you are not in PECOS. Medicare will make payment only if you are in the PECOS system!
We want to continue to service your Medicare patients efficiently. Please help us avoid any potential disruptions to their care by enrolling in PECOS now. To help expedite the process, please consider using the Internet-based PECOS.
We have attached to this letter an important Medicare communication on PECOS, and have also listed some key CMS Internet links that will provide you with additional information. We thank you in advance for taking the time to ensure that your Medicare enrollment information is up-to-date, and for enabling us to continue to service your Medicare patients without disruption.
If you have a question about this information and would like someone from DJO to contact you, please email us at corporate.compliance@djoglobal.com.
Sincerely,
DJO, LLC
Key Medicare Internet links regarding PECOS
CMS Home Site for Internet based PECOS: http://www.cms.hhs.gov/MedicareProviderSupEnroll/04_InternetbasedPECOS.asp#TopOfPage
MLN Matters Article on PECOS:
http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0914.pdf
Access to Internet PECOS:
https://pecos.cms.hhs.gov/pecos/login.do
Navigating PECOS (sample enrollment screen shots):
http://www.cms.hhs.gov/MedicareProviderSupEnroll/Downloads/PECOSWebScreenExample.pdf
Contact Information for PECOS assistance:
http://www.cms.hhs.gov/MedicareProviderSupEnroll/Downloads/ContactInformation.pdf
Protecting Your Privacy (Link for document on next page of this communication)
http://www.cms.hhs.gov/MedicareProviderSupEnroll/Downloads/MedPhysPrivacy.pdf
DME INFO 