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

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Administration • Establish business practices to ensure compliance with laws and regulations – Designate one person to address compliance issues • That person has to have the knowledge, skills and education in order to be accountable in this position • Typically a Risk Management or Compliance Officer – A compliance plan should include: • All training, • Issues addressed, and • How you determined conflicts of interests 18
Financial Management • Develop an operating budget • Produce periodic financial statements • Develop a method for tracking actual revenues and expenses • Take into account any ABN’s that are issued for upgrades • Knowledge of proper billing practices – surveyors will look at claims: – Did you bill before you had the prescription – Did you omit the modifier or incorrectly code the claim 19
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 and 16: Administration • You must have a
Page 17: Administration • Compliance with
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

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

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