Author Topic: Medicare DME accreditation  (Read 202 times)

thedjfries

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Medicare DME accreditation
« on: July 11, 2020, 09:44:29 AM »
I would like to become a DME provider,
However I am a non US citizen I have a company incorporated I am under the assumption that paper application can be done.
I would like to know what forms and documents would be required to apply for
1.NPI
2.Medicare DME accreditation.

What hoops do I have to jump through and how long would it take if I do it right now

Michele

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Re: Medicare DME accreditation
« Reply #1 on: July 12, 2020, 07:53:07 PM »
Do you have an SSN?  I believe that is required for both the NPI & DME app.
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thedjfries

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Re: Medicare DME accreditation
« Reply #2 on: July 14, 2020, 04:09:04 PM »
No I don't have SSN, I called and checked with I&A, EUS, NPPES, and plametto
They said it can be done through paper forms like 855s and npi enumeration form

But I would like to know how long does it take
And has anyone here done it or heard of it

Also the Medicare credentialing Waivers due to Covid 19 if and when they are valid till

Michele

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Re: Medicare DME accreditation
« Reply #3 on: July 15, 2020, 08:31:19 AM »
On the CMS 855S application, section 9A is for the ownership of the company and it says that an SSN is required.  That is why I asked.  See page 19:

https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/cms855s.pdf 


You can obtain an NPI without an SSN, but it has to be the paper form.  They state the paper apps take about 14-21 days.
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thedjfries

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Re: Medicare DME accreditation
« Reply #4 on: July 16, 2020, 08:15:21 PM »
Medicare has given Waivers/relaxation for new providers and enrollment how long is that valid till

kristin

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Re: Medicare DME accreditation
« Reply #5 on: July 16, 2020, 08:23:30 PM »
The answer to the waivers is in the first paragraph of this link:
https://www.cms.gov/files/document/summary-covid-19-emergency-declaration-waivers.pdf

kristin

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Re: Medicare DME accreditation
« Reply #6 on: July 16, 2020, 09:34:08 PM »
To add some additional thoughts...

It isn't a matter of how long it takes to get approved by DMEPOS, generally with a paper application as opposed to doing it through PECOS is a difference of a few weeks. What IS a matter that a SSN is required, and you don't have one. There is no way to complete the application if you don't have an SSN. Well, you can complete it, but it will be rejected once they get it, unfortunately.

The waiver for the fees also doesn't matter, as eventually, the fee will have to be paid. Another consideration is the mandatory on-site inspection. These inspections have temporarily been suspended due to COVID-19, but will eventually resume.

Basically, the situation is this...DME fraud is rampant, and Medicare/NSC has put a lot of requirements into place in the last few years to prevent this fraud from occurring. So unless you are prepared to meet every requirement starting with the application,then the on-site inspection, and a few other things, don't even bother trying to become a provider. Not trying to be a Negative Nellie here, but I have done numerous DME initial applications and the subsequent follow through requirements and the re-credentialing process, and I don't see how you can even get started without an SSN.

Just my two pennies.

Michele

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Re: Medicare DME accreditation
« Reply #7 on: July 20, 2020, 07:28:09 AM »
Just wanted to share an experience that a NY provider had enrolling in DME during COVID.  We submitted the app just prior to the shutdown with an anticipated opening date of 5/1/2020.  Since they are near the city, and not considered essential, that didn't happen.  For one reason, they weren't able to get their signage, or shipments in of the supplies needed, exam tables, furniture, etc.  The inspector showed up (even though we didn't expect it due to COVID) and failed them.  He was super rude stating "You have to be ready!  Open!  With staff and patients!"  He had no compassion for the fact that they were unable to open due to the circumstances.

Seriously????  Turn on the news! 
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