by Wyn Staheli, Director of Content - innoviHealth
Feb 27th, 2023
CMS recently announced that there have been some changes made to the DMEPOS program. The Medicare Learning Network (MLN) “DMEPOS Quality Standards” states that:
- “We discontinued Certificates of Medical Necessity (CMNs) and Durable Medical Equipment (DME) Information Forms (DIFs) effective January 1, 2023
- We added items that support medical necessity in a patient’s medical record
- We replaced the National Supplier Clearinghouse (NSC) with 2 National Provider Enrollment (NPE) contractors effective November 7, 2022”
We encourage all DME suppliers to review the changes, and ensure that internal policies and procedures are revised to meet these changes.
The following are excerpts of the changes (red text) as found in MLN905709, dated December 2022:
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Section II: Supplier Product-Specific Service Requirements |
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DMEPOS Supplier Accreditation Organizations (AOs) The National Supplier Clearinghouse (NSC) no longer processes DMEPOS suppliers’ Medicare enrollment applications. Since November 7, 2022, 2 new National Provider Enrollment (NPE) DMEPOS contractors (east and west) process Medicare enrollment applications for DMEPOS suppliers to make sure they meet all supplier standards and enrollment requirements. Suppliers must comply with the current standards to get and keep Medicare billing privileges through the NPE contractors. The government publishes supplier standards in 42 CFR 424.57(c). CMS-approved AOs use quality standards guidelines, and suppliers must comply with them to get accredited. The NPE contractors and the AOs are completely independent, so compliance with 1 entity doesn’t guarantee compliance with the other. |
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About Wyn Staheli, Director of Content - innoviHealth
Wyn Staheli is the Director of Content Research for innovHealth. She has over 30 years of experience in the healthcare industry. With her degree in Management Information Systems (MIS), she has been a programmer for a large insurance carrier as well as a California hospital system. She is also the author and editor of many medical resource books and the founder of InstaCode Institute.
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