CMS供应商标准

A supplier must be in compliance with all applicable Federal and State licensure and regulatory requirements and cannot contract with an individual or entity to provide licensed services.
A supplier must provide complete and accurate information on the DMEPOS supplier Any changes to this information must be reported to the National Supplier Clearinghouse within 30 days.
An authorized individual (one whose signature is binding) must sign the application for billing privileges.
供应商必须从自己的库存中完成订单, or must contract with other companies for the purchase of items necessary to fill the A supplier may not contract with any entity that is currently excluded from the Medicare program, 任何州医保计划, 或任何其他联邦采购或非采购项目.
A supplier must advise beneficiaries that they may rent or purchase inexpensive or routinely purchased durable medical equipment, 以及封顶租赁设备的购买选择权.
A supplier must notify beneficiaries of warranty coverage and honor all warranties under applicable State law, 并免费维修或更换.
A supplier must maintain a physical facility on an appropriate This standard requires that the location is accessible to the public and staffed during posted hours of business. The location must be at least 200 square feet and contain space for storing records.
供应商必须允许CMS, or its agents to conduct on-site inspections to ascertain the supplier’s compliance with these The supplier location must be accessible to beneficiaries during reasonable business hours, 并且必须保持一个明显的标志和张贴营业时间.
A supplier must maintain a primary business telephone listed under the name of the business in a local directory or a toll free number available through directory The exclusive use of a beeper, 电话应答机, answering service or cell phone during posted business hours is prohibited.
A supplier must have comprehensive liability insurance in the amount of at least $300,000 that covers both the supplier’s place of business and all customers and employees of the supplier. 如果供应商生产自己的产品, this insurance must also cover product liability and completed operations.
A supplier must agree not to initiate telephone contact with beneficiaries, 当然也有一些例外. This standard prohibits suppliers from contacting a Medicare beneficiary based on a physician’s oral order unless an exception applies.
A supplier is responsible for delivery and must instruct beneficiaries on use of Medicare covered items, 并保留送货证明.
A supplier must answer questions and respond to complaints of beneficiaries, 并保持这样的文件.
A supplier must maintain and replace at no charge or repair directly, 或者通过与另一家公司签订服务合同, 将医疗保险项目租给受益人.
A supplier must accept returns of substandard (less than full quality for the particular item) or unsuitable items (inappropriate for the beneficiary at the time it was fitted and rented or sold) from beneficiaries.
A supplier must disclose these supplier standards to each beneficiary to whom it supplies a Medicare-covered item.
A supplier must disclose to the government any person having ownership, 金融, 或控制供应商的权益.
A supplier must not convey or reassign a supplier number; i.e., the supplier may not sell or allow another entity to use its Medicare billing number.
A supplier must have a complaint resolution protocol established to address beneficiary complaints that relate to these standards. A record of these complaints must be maintained at the physical facility.
投诉记录必须包括:姓名, address, telephone number and health insurance claim number of the beneficiary, 投诉摘要, 以及为解决问题所采取的措施.
A supplier must agree to furnish CMS any information required by the Medicare statute and implementing regulations.
All suppliers must be accredited by a CMS-approved accreditation organization in order to receive and retain a supplier billing number. The accreditation must indicate the specific products and services, for which the supplier is accredited in order for the supplier to receive payment of those specific products and services (except for certain exempt pharmaceuticals). 实施日期- 2009年10月1日.
All suppliers must notify their accreditation organization when a new DMEPOS location is opened.
所有供应商所在地, 无论是自有的还是分包的, must meet the DMEPOS quality standards and be separately accredited in order to bill.
All suppliers must disclose upon enrollment all products and services, including the addition of new product lines for which they are seeking.
必须符合42 C.F.R. 424.57(c). 实施日期- 2009年5月4日.
A supplier must obtain oxygen from a state-licensed oxygen supplier.
A supplier must maintain ordering and referring documentation consistent with provisions found in 42 F.R. 424.516(f).
DMEPOS suppliers are prohibited from sharing a practice location with certain other Medicare providers and suppliers.
DMEPOS suppliers must remain open to the public for a minimum of 30 hours per week with certain exceptions.

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