42 C.F.R. 42 CFR--PART 424
Title 42 - Public Health
Effective Date(s): October 2, 2006. 9. Section 424.57 is amended by— A. Adding the definitions “Accredited DMEPOS suppliers,” “CMS approved accreditation organization” and “Independent accreditation organization” in alphabetical order in paragraph (a). B. Adding new paragraphs (c)(22)–(c)(25). The additions and revision read as follows: (a) Definitions. * * * Accredited DMEPOS suppliers means suppliers that have been accredited by a recognized independent accreditation organization approved by CMS in accordance with the requirements at §424.58. CMS approved accreditation organization means a recognized independent accreditation organization approved by CMS under §424.58. * * * * * Independent accreditation organization means an accreditation organization that accredits a supplier of DMEPOS and other items and services for a specific DMEPOS product category or a full line of DMEPOS product categories. * * * * * (c) Application certification standards. * * * (22) All suppliers of DMEPOS and other items and services 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 for those specific products and services. (23) All DMEPOS suppliers must notify their accreditation organization when a new DMEPOS location is opened. The accreditation organization may accredit the new supplier location for three months after it is operational without requiring a new site visit. (24) All DMEPOS supplier locations, whether owned or subcontracted, must meet the DMEPOS quality standards and be separately accredited in order to bill Medicare. An accredited supplier may be denied enrollment or their enrollment may be revoked, if CMS determines that they are not in compliance with the DMEPOS quality standards. (25) All DMEPOS suppliers must disclose upon enrollment all products and services, including the addition of new product lines for which they are seeking accreditation. If a new product line is added after enrollment, the DMEPOS supplier will be responsible for notifying the accrediting body of the new product so that the DMEPOS supplier can be re-surveyed and accredited for these new products. * * * * *
Amendment from August 18, 2006
42 CFR--PART 424
Amendment(s) published August 18, 2006, in 71 FR 48409
§ 424.57 Special payment rules for items furnished by DMEPOS Suppliers and issuance of DMEPOS Supplier billing privileges.
