MEDICARE IMPOSES STRONGER PROTECTIONS ON MEDICAL EQUIPMENT SUPPLIERS

New Rule Strengthens Supplier Enrollment Standards to Help Prevent Fraud

The Centers for Medicare & Medicaid Services (CMS)  issued a final rule representing another step to increase protections for Medicare and beneficiaries from potentially fraudulent suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). 

The new regulation enhances Medicare enrollment standards for DMEPOS suppliers by adding several new standards and strengthening existing standards that suppliers must meet before being able to furnish equipment and supplies to Medicare beneficiaries. These new and stronger standards will help to reduce fraud in Medicare and provide beneficiaries with additional assurance that they are being served by legitimate suppliers who meet Medicare’s standards.

Please click here for the entire press release DMEPOS  

Please click here for the Federal Register   Federal Register – 8-27-10 – 2010-21354

PECOS update-Twenty minutes with CMS’s Jim Bossenmeyer

BALTIMORE – Coming off last week’s confusing Open Door Forum, HME News called Jim Bossenmeyer, director for the division of provider and supplier enrollment at CMS, for clarification on the Provider Enrollment, Chain and Ownership System (PECOS).  For more information and the entire article please click here PECOS

CMS to providers: No PECOS grace period

BALTIMORE – CMS officials aren’t cutting HME providers any slack when it comes to complying with the July 6 deadline for the Provider Enrollment, Chain and Ownership System (PECOS). HME providers who take Medicare referrals on or after July 6 from physicians not enrolled in PECOS risk having those claims rejected, CMS officials stated during last week’s Open Door Forum.  For more information, please click here PECOS Grace Period

PECOS Enrollment Delayed Until January 3, 2011

The delay in implementing Phase 2 will give physicians and non-physician practitioners who order items or services for Medicare beneficiaries or who refer Medicare beneficiaries to other Medicare providers or suppliers sufficient time to enroll in Medicare or take the action necessary to establish a current enrollment record in Medicare prior to Phase 2 implementation.

Please click here for more information  PECOS

The Centers for Medicare & Medicaid Services (CMS) will hold a Special Open Door Forum (ODF) February 17, 2010

During this call, CMS staff will discuss:

• Internet-based Provider Enrollment, Chain and Ownership System (PECOS) for physicians, non-physician practitioners and provider and supplier organizations

• Provider and supplier reporting responsibilities

• Medicare ordering and referring Issues

• Revalidation efforts

For more information please click here  CMS Open Door Forum