100 Etowah Trace | Fayetteville, Georgia 30214 | 770-716-7678 | 770-716-1814 (FAX) | Email: kcmedical@mindspring.com

Medicare Standards

  • A supplier must be in compliance with all applicable Federal and State licensure and regulatory requirements.
  • A supplier must provide complete and accurate information on the DMEPOS supplier application. 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 the billing privileges.
  • A supplier must fill orders from its own inventory, or must contract with other companies for the purchase of items necessary to fill the order. A supplier may not contract with any entity that is currently excluded from the Medicare program, and State health care programs, or from any other Federal procurement or non procurement programs.

  • A supplier must advise beneficiaries that they may rent or purchase inexpensive or routinely purchased durable medical equipment, and of the purchase option for capped rental equipment.
  • A supplier must notify beneficiaries of warranty coverage and honor all warranties under applicable State law, and repair or replace free of charge Medicare covered items that are under warranty.
  • A supplier must maintain a physical facility on an appropriate site.
  • A supplier must permit HCFA, or its agents to conduct on-site inspections to ascertain the supplier’s compliance with these standards. The supplier location must be accessible to beneficiaries during reasonable business hours, and must maintain a visible sign and posted hours of operation.
  • 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 assistance. The exclusive use of a beeper, answering machine or cell phone is prohibited.
  • A supplier must have comprehensive liability insurance in the amount of at least $300,000.00 that covers both the supplier’s place of business and all customers and employees of the supplier. If the supplier manufactures its own items, this insurance must also cover product liability and completed operations.
  • A supplier must agree not to initiate telephone contact with beneficiaries, with a few exceptions allowed. This standard prohibits suppliers from calling beneficiaries in order to solicit new business.

100 Etowah Trace | Fayetteville, Georgia 30214 | 770-716-7678 | 770-716-1814 (FAX) | Email: kcmedical@mindspring.com