Compliance With The DMEPOS Quality Standards - Centers for ...

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Administration • Compliance with Medicare laws, regulations, manuals, and contractor policies and articles – For example: • The enrollment standards under 42 CFR §424.57 • The Department of Transportation (vehicles) • The OSHA (infection control, fire, and safety) • Business licenses in ALL States • Local fire codes • Local Coverage Determinations (LCD) • National Coverage Determinations (NCD) • Internet Only Manuals (IOM) – Claims Processing, – Benefit Policy, – Program Integrity 16
Administration • Compliance with disclosure of ownership and control information – You should become very familiar with the regulations under 42 CFR §420.201 – 206 • These rules will outline a conflict of interest • You must disclose any Federal offenses related to Medicare, Medicaid or Social Services Programs 17
Page 1 and 2: Compliance With The DMEPOS Quality
Page 3 and 4: HOW DO I PREPARE • READ AND UNDER
Page 5 and 6: IMPORTANT DATES • JANUARY 31, 200
Page 7 and 8: KEY POINTS TO REMEMBER • SENDING
Page 9 and 10: KEY POINTS TO REMEMBER • Refer to
Page 11 and 12: Section I • Administration • Fi
Page 13 and 14: Administration • This can be met
Page 15: Administration • You must have a
Page 19 and 20: Financial Management • Develop an
Page 21 and 22: Consumer Services • Provide writt
Page 23 and 24: Performance Management • Measures
Page 25 and 26: Product Safety • Maintenance plan
Page 27 and 28: Information Management • Meets HI
Page 29 and 30: Intake & Assessment • The benefic
Page 31 and 32: Training/Instruction • Provide in
Page 33 and 34: DMEPOS QUALITY STANDARDS APPENDIX A
Page 35 and 36: APPENDIX A • In addition to meeti
Page 37 and 38: Manual Wheelchairs, PMDs and Comple
Page 39 and 40: Complex Rehab Wheelchairs and Assis
Page 41 and 42: Complex Rehab Wheelchairs and Assis
Page 43 and 44: Appendix C • Individuals supplyin
Page 45 and 46: Intake & Assessment • Perform an
Page 47 and 48: Follow-up • Access to a facility
Page 49 and 50: DME MAC Websites • Jurisdiction A
Page 51 and 52: Internet Only Manuals (IOM) • Fro
Page 53 and 54: Center for Medicare & Medicaid Serv
Page 55 and 56: Claim Adjustment Codes and Remittan
Page 57 and 58: Common Electronic Data Interchange
Page 59 and 60: Palmetto GBA: National Supplier Cle

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