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Number of Eligible DMEPOS Providers Slashed by Nearly 15%
From SleepReview e-magazine:
Industry News
Number of Eligible DMEPOS Providers Slashed by Nearly 15%
Nearly 11,000 DMEPOS providers had their Medicare numbers revoked as a result of new accreditation and surety bond requirements, reports HomeCare Magazine. In addition to those who were revoked by CMS, more than 3,000 more providers voluntarily terminated their numbers.
“As of Dec. 15, about 3,400 voluntarily terminated their numbers, another 1,200 deactivated their numbers … and about 11,000 were revoked," a CMS spokesman told HomeCare Magazine. Because some providers are in the accreditation queue and others are appealing, the number may change, the spokesman noted.
An October 1, 2009, deadline required DMEPOS providers to be accredited—although some pharmacies received an extension until December 31—and to have $50,000-per-location surety bonds in place by October 2 or forfeit their right to bill Medicare.
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Replies to This Discussion
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Permalink Reply by Mike on
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to me, it looks like the opposite: that the brick & mortar DME providers are throwing up their hands and basically saying "I give up" -- this business isn't worth the nonsense you put me through to get paid, Uncle Sam.... no?
Judy said:It looks like the brick & mortar DME providers want to play hardball w/the government about Medicare reimbursements.
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Permalink Reply by Judy on
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It would be NICE if this was weeding out a lot of the "lousy" DME providers and the fraudulent ones. But I sure wouldn't count on it.
Keep in mind that "bidding process" CMS is trying out in several regions of the country.
Have you any idea what Medicare pays for an HCPCS e0601? Insurances then lower their contracted reimbursement so that Medicare is the most generous payer.
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Medicare is the "bread & butter" for most all brick & mortar DME suppliers. We aren't talking "just" CPAPs and accessories. Private insurances are not as generous in contracting what they will pay the DME providers. And then there are those patients whose ONLY insurance is Medicare. Insurance (Medicare and private) is the main reason online DME providers can sell so much more cheaply than the brick & mortar providers. Its not just Medicare paperwork, its the multitude of private insurances and their resulting paperwork as well.
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