To enroll as a Medicare DME supplier, there are requirements that must be met. View the National Supplier Clearinghouse (NSC) website to read articles, access learning & educational information, view resources and learn about Supplier enrollment related processes, rules, and regulations. To support our suppliers, a COVID-19 Hotline has been established to help with COVID-19 related inquiries. The hotline number is: 866-575-4067. Customer services representatives will be available Monday-Friday from 8 a.m.-6 p.m. DME MAC or ZPIC medical staff must resolve the issue. Acceptability of Faxed Orders and Facsimile or Electronic CMNs or DIFs CMS Manual System, Pub. 100-08, Medicare Program Integrity Manual, Chapter 5, §5.3 When reviewing claims and orders or auditing CMNs or DIFs for DMEPOS, DME MACs and ZPICs.

1. Dme Mac Jurisdiction D Supplier Manual
2. Jurisdiction D Dme Mac Supplier Manual Free
3. Dme Mac Jurisdiction D Supplier Manual
4. Dme Mac Jurisdiction D Online Supplier Manual

DME/HME BUSINESS START-UP GUIDE

The Durable Medical Equipment or Home Medical Equipment Business Start-Up Guide is the essential primer for anyone who plans on opening a durable equipment business. Step-by-step guidance and helpful forms assist you in quickly obtaining all necessary licenses and accreditations, including receiving Medicaid and Medicare approval specific to your state.

• Noridian JD DME Attn: DME LCD Reconsiderations PO Box 6742 Fargo, ND: Noridian JD DME Attn: DME LCD Reconsiderations 900 42nd St S PO Box 6742 Fargo, ND: Medical Review - Prior Authorization Requests (PAR) Noridian JD DME Attn: DME MR-PAR PO Box 6742 Fargo, ND: Noridian JD DME Attn: DME MR-PAR 900 42nd St S PO.
• Manual Wheelchairs (HCPCS K0001, K0003, K0004) Quarterly Results. Jurisdiction D DME MAC Supplier Contacts and Resources. 8 LCD and Policy Article Revisions.

Areas covered include:

• Overview
• DME business licensure requirement
• The licensure application process for DME business type and state
• Medicare and DMEPOS
• MAC Jurisdiction a-b-c-d
• Supplier Manuals
• Fee Schedule
• National Coverage Determinations (NCDS) and Local Coverage Determination (LCD)
• Medicaid
• DME products and services covered under Medicaid
• State DME/HME Application
• CEDI
• PTAM
• FD inspections and requirements for medical gases
• DMEPOS enrollment process
• DMEPOS enrollment versus the accreditation process
• PECOS
• Human resources for DME/HME Companies
• Hiring employees and independent contractors
• Risk management and Quality Management
• DME billing and software review
• DME and Commerical Insurances
• Contracts and marketing strategies for DME
• Contacting with community providers
• Equipment installation and follow-up
• Equipment malfunction and troubleshooting process
• Success-proven marketing strategies
• Referral sources
• Co-marketing with vendors
• Start-up documents
• DME/HME start-up checklist
• Accreditation organizations and the accreditation process
• Much more

The Durable Medical Equipment or Home Medical Equipment Business Start-Up Guide is available in e-book (instant download) format and paperback book.

DME/HME POLICIES AND PROCEDURES MANUAL

Be inspection ready with the DME/HME Policies and Procedures Manual. This manual has all the sample policies and procedures ready to be customized to navigate the Medicare certification process. The book comes with cross-references that match the applicable accreditation standards.

The manual is compliant with the following accrediting agencies:

• ACHC – Accreditation Commission For Health Care, Inc.
• CHAP – Community Health Accreditation Program
• The Joint Commission
• Medicare Conditions of Participation (CoPs)
• CMS Quality Strategy (CMSQS)
• . and much more.

This manual is available in e-book (instant download) format and Flash Drive for easy editing.

CUSTOMIZED HME/DME POLICIES AND PROCEDURES MANUAL

Don’t worry about creating your own DME business policies and procedures. Have us do it for you! We have over 18 years of experience in building our accreditation focused Customized HME/DME Policies and Procedures Manual. The policies we write will meet current CMS quality standards and accreditation requirements. When you purchase our service, you complete a brief questionnaire during which we gather essential information about company. One of our experts will then review your responses, call you to discuss the requirements if we have any questions, and then create and deliver a comprehensive manual tailored to your HME/DME company. We also include your company-specific information such as name, logo, and much more. Our quality assured five-step review process ensures that your book will be accurate and up to date. A simple cross-reference guide is provided to match and successfully fulfill all the requirements.

The Customized HME/DME Policies and Procedures Manualis available in e-book format for initial review and use by your team, and a hard copy 3-ring binder for licensing or accreditation review and approval.

INFUSION POLICIES AND PROCEDURES MANUAL

The Infusion Policies and Procedures Manual was developed for agencies to comply with the latest version of Infusion Nursing Standards of Practice. It’s crucial for every hospital, home healthcare agency, long term care, and skilled nursing facility, and clinic to comply with these standards and to update their policies on infusion.

The Infusion Policies and Procedures Manual are customized by certified consultants to comply with state, federal, and local laws and accreditation standards, including:

• URAC’s Medicare Home Infusion Therapy Supplier Accreditation; or
• ACHC Home Infusion Therapy Accreditation; or
• JCAHO Home Infusion Pharmacy Accreditation.

This manual also comes with optional training to explain the regulatory and policy guidelines and to review the frequent changes to URAC, ACHC, or Joint Commission standards that may impact your processes or workflows.

The Infusion Policies and Procedures Manual will address Infusion Standards, Procedures for Home Infusion, Parenteral Pain Management, Administration of Inotropic Therapy, Total Parenteral Nutrition, Anti-Microbial Administration, Vascular Access Devices, Pediatric Infusion Therapy, and Competency Evaluation Program, Human Resources, Financial Management, Billing and much more.

This manual is available in e-book format for initial review and use by your team, and a hard copy 3-ring binder for licensing or accreditation review and approval.

DME/HME policies and procedures manual table of contents:

Section 1 - Ethics, Rights and responsibilities

• Advance directives
• Foregoing or withholding life-sustaining treatment and/or resuscitation
• Authorization to treat/informed consent
• Authorization/agreement for services form
• Authorization to treat form - mechanical ventilator
• Authorization to treat form - apnea monitor
• Authorization to treat form - enteral nutrition equipment
• Client bill of rights policy
• Client bill of rights and responsibilities
• Code of ethics
• Ethics committee
• Confidentiality of client information
• Confidentiality statement form - staff
• Conflict in care
• Conflict of interest
• Experimental treatments
• Client concerns/grievances
• Client perception of care report form
• Client concerns/grievance process flowchart
• Non-english speaking clients - cultural considerations
• Photographing/videotaping clients
• Authorization and consent form - photograph and publication
• Sensory impaired clients
• Identification of person(s) responsible for care, treatment and service delivery
• Clinical decision-making and financial incentives
• Cms medicare dmepos supplier standards
• Cms medicare dmepos estandares para suplidores

Section 2 - Provision of care, treatment and services

• admission/assessment
• Acceptance policy
• Assignment of staff
• Referral process
• Referrals to other organizations/individuals
• Assessment of clients
• Physical assessment - respiratory services
• Order intake form
• Client abuse - adult
• Client abuse - child
• Suspected adult or child abuse report form
• Planning care, treatment and services
• Plan of care
• Plan of treatment
• Plan of treatment form
• Plan of care form
• Plan of care forms:
• Oxygen equipment
• Respiratory equipment
• Apnea monitor equipment
• Ventilator equipment
• Infusion pump equipment
• Providing care, treatment and services
• Client emergency
• Clinical respiratory services
• Death in the home
• Follow-up visits
• Nutritional product storage
• Medical supervision
• Oxygen delivery systems
• Oxygen concentrator training checklist
• Oxygen concentrator maintenance checklist
• Required emergency backup oxygen system for concentrator clients consent form
• Pentamidine aerosol for treatment of pneumocystis carinii pneumonia
• Traction and related traction services
• Physician's prescription
• Physician's telephone orders
• Confirmation of physician's orders form)
• Pneumocardiogram
• Predischarge visits to clients in hospital
• Pulse oximetry
• Specimen collection
• Telephone order taking
• telephone and communication log
• Tracheostomy care
• Education
• Multidisciplinary client education
• Client instruction
• Aerosol therapy
• Aerosol therapy training certification form
• Aspiratory (suction unit)
• Aspirator (suction unit) - installation and assembly instructions
• Cardiopulmonary resuscitation
• Disinfection of respiratory breathing circuits - instructions
• Home equipment - instructions checklist
• Humidifier cleaning instructions
• Postural drainage therapy
• Respiratory client education
• Cpap/bipap client orientation checklist
• Ippb training certification form
• Clients who smoke with oxygen in use
• Minor troubleshooting - oxygen concentrator
• Nasotracheal and tracheostomy suctioning
• Suction training instructions form
• Discharge/transfer
• discharge policy
• discharge summary
• discharge worksheet
• discontinuance of service against medical advice form
• home care services discharge summary form
• transfers to other organizations

section 3 - medication management

• Medication administration and transcription
• Medication profile form 'a'
• Medication profile form 'b'
• Medication administration record form
• Medication management - clinical respiratory services
• Medication orders for clinical respiratory therapy
• First dose medications
• Drug reactions
• Investigational medications
• Infection control
• Infection control definitions
• Identification and reporting of infectious diseases
• Standard precautions
• Hand hygiene
• Personal protective equipment
• Personnel guidelines for use of personal protective equipment
• Bloodborne pathogens exposure control
• Report of exposure to bloodborne pathogens form
• Bloodborne pathogens - post-exposure evaluation and follow-up
• Hepatitis b vaccination policy
• Employee health - employee illnesses
• Infection control plan
• Infection risk assessment
• Exposure control plan
• Organizational plan and response to a potential or actual infectious pandemic outbreak
• Pandemic risk assessment tool for home care organizations policy
• pandemic infection outbreak planning and preparedness risk assessment tool for home care organizations

section 4 - improving organization performance

Dme Mac Jurisdiction D Supplier Manual

• Organizational performance improvement plan
• Durable & home medical equipment - pi monitoring and evaluation plan
• Durable & home medical equipment - pi trending sheet
• Durable & home medical equipment - pi outcome evaluation
• Durable & home medical equipment - pi volume measures/statistics
• Performance improvement reporting form
• Performance improvement committee minutes form
• Corrective action plan form
• Annual company evaluation
• Incident reporting
• Incident report form
• Performance improvement department notification form
• Product incident reporting
• Product incident report form
• Perception of care/satisfaction surveys
• Perception of care/satisfaction survey form
• Sentinel event review
• Root cause analysis flowchart
• Self-evaluation of service
• Home care medical services self-evaluation diagram

section 5 - leadership

• Scope of service
• Services provided - hours of operations
• On-call services
• Geographical service area
• Medical advisor
• Communication of information
• Client safety program
• Organization and structure
• Local management and administration (for companies with multiple locations, satellite offices, etc.)
• Governance - board of directors/management company
• Governance - sole proprietorship
• Annual operating budget and capital expenditure plan
• Professional advisory committee
• Physician license verification
• Staff recruitment, retention and education
• Contracted services
• Role of leadership in performance improvement
• Registration process - sterilizer of bedding and upholstered furniture
• Environmental safety
• Employee safety/security
• Employee job-related injuries
• Electrical safety release form
• Safety hazard surveillance
• Security plan
• Hazardous materials and waste plan
• Hazardous materials emergency response communication
• Identification, handling and disposal of hazardous materials
• Emergency management plan
• Bomb incident plan
• Bomb threat report form
• Detecting suspicious packages/letters
• Natural disaster management plan
• Terrorism response plan
• Hazard vulnerability analysis
• Emergency management - hazard vulnerability analysis worksheet
• Fire safety
• Fire drill report form
• Safe medical devices
• Medical device problem and recall
• Utility systems management plan
• Lockout/tagout procedures
• Lockout/tagout training
• Equipment delivery/receipt
• Entering the client's residence
• Equipment set-up procedure
• After-hours delivery
• Backup equipment
• Delivery procedure
• Delivery invoice
• Receiving equipment
• Sample tags
• Pick-up procedure
• Equipment and bed cleaning guidelines
• Equipment maintenance and repairs
• Non-routine (non-pm) equipment maintenance record
• Preventive maintenance - apnea monitors
• Nebulizer/compressor service / cpap/bipap service form
• Preventive maintenance - feeding pump
• Preventive maintenance - oxygen regulators
• Vendor repair service
• Equipment warranty policy
• Return of purchased or rental equipment
• Delivery route sheet form
• Service call report form
• Vehicles/drivers
• Vehicle policy
• Compliance with dot laws
• Insurance coverage for employee-owned vehicles
• Motor vehicle accidents
• Motor vehicle accident report by driver form
• Point system for vehicle accidents and moving violations
• Company driver - motor vehicle violation report certification
• Company driver - motor vehicle violation report certification form
• Restrictions regarding vehicle use
• Drivers transporting compressed medical gases (cmg)
• Vehicle markings and appearance
• Vehicle files
• Vehicle maintenance/repairs
• Vehicle preventive maintenance schedule log
• Outfitting vehicles containing liquid storage units used for transfilling (stationary, portable or vehicle units)
• Vehicles used to transport high-pressure medical gas
• Operation assessments and hazardous manifest form
• Bill of lading (hazardous manifest) form
• Driver's vehicle use (driving) competency evaluation form
• Sample of your state/county 'written examination for drivers'
• Compressed medical gas (oxygen)
• Compressed medical gas compliance regulations
• Oxygen equipment standards
• Compressed medical gas record keeping
• Oxygen/combustible gas storage
• Delivery of compressed gas cylinders to client's home
• Cmg cylinder delivery record form
• Oxygen tracking log
• Batch quality control log - liquid oxygen
• Assigning batch and/or lot numbers
• Equipment calibration
• Oxygen analyzer calibration record form
• Scale calibration record form
• Inspections by fda
• Liquid oxygen fda regulation compliance checklist
• Master control record - bulk tank oxygen test
• Labeling procedure
• Liquid oxygen sample batch record tag
• Sample precautionary label - liquid oxygen
• Receiving procedure for liquid oxygen and high-pressure gas from supplier (not for bulk locations)
• Oxygen testing procedures bulk tank locations - new shipment
• Transfilling guidelines - oxygen cylinder
• Hydrostatic testing standards
• Oxygen cylinder pre-fill procedure
• Oxygen testing procedures when transfilling cylinders - compressed gas (high pressure)
• Transfill record form - compressed gas cylinder
• Oxygen transfill inspection report form
• Oxygen testing procedures for liquified gas in vehicle storage system
• Filling (liquid oxygen) portable cryogenic vessels from bulk storage or vehicle storage systems
• Filling of vehicle storage system
• Handling oxygen products which do not meet specifications
• Compressed medical gas storage - cylinders
• Oxygen storage (bulk)
• Refrigerated liquid oxygen form
• Portable gas cylinders form
• E cylinders flow chart

Section 6- Management of human resources

• Position description/performance evaluation
• Performance evaluation - age-related competency - dme operations manager
• Annual competency clinical skills assessment - dme operations manager
• Position description/performance evaluation - dme customer service supervisor
• Performance evaluation - age-related competency - dme customer service supervisor
• Annual competency skills assessment - dme customer service supervisor
• Position description/performance evaluation - dme customer service representative
• Performance evaluation - age-related competency - dme customer service representative
• Annual competency skills assessment - dme customer service representative
• Position description/performance evaluation - dme billing collection coordinator
• Annual competency skills assessment - dme billing collection coordinator
• Position description/performance evaluation - dme receptionist
• Performance evaluation - age-related competency - dme receptionist
• Annual competency skills assessment - dme receptionist
• Position description/performance evaluation - dme marketing representative
• Annual competency skills assessment - dme marketing representative
• Position description/performance evaluation - dme respiratory care supervisor
• Performance evaluation - age-related competency - dme respiratory care supervisor
• Annual competency clinical skills assessment - dme respiratory care supervisor
• Position description/performance evaluation - dme warehouse supervisor
• Performance evaluation - age-related competency - dme warehouse supervisor
• Annual competency skills assessment - dme warehouse supervisor
• Position description/performance evaluation
• Dme driver/service technician
• Performance evaluation - age-related competency
• Dme driver/service technician
• Annual competency skills assessment
• Dme driver/service technician
• Staff selection
• Current licensure, certification and registration
• Staff orientation checklists
• Orientation checklists:
• Administrative/management
• Office staff
• Driver/service technician
• Home care clinical staff
• Respiratory care - competency checklist
• Infusion therapy - competency checklist
• In-service and continuing education
• Continuing education attendance record form
• In-service attendance record form
• Performance evaluations
• Applications for employment

Section 7 - Management of information

Jurisdiction D Dme Mac Supplier Manual Free

• Information management plan
• Privacy and confidentiality of information
• Unacceptable abbreviation and symbol list
• Approved symbols and abbreviations list
• Client record policy
• Client record home care notes form
• Client information form
• Medical record audits
• Durable medical equipment medical records audit form
• Durable medical equipment record review summary form
• Answering service

WASHINGTON, D.C. (May 29, 2020)—Last year’s Omnibus bill included a provision to exempt manual complex rehab technology (CRT) accessories from bidding derived prices for an 18-month period starting January 1, 2020. Late last week, The Centers for Medicare & Medicaid Services (CMS) published guidance on reprocessing the manual CRT accessories claims with dates of service between January 1-June 30, 2020. The list of codes that can be reprocessed starts on page 9 of the Change Request 11635.

In the new guidance, suppliers are directed to fill and submit the Reopening Request forms available on the DME MAC websites. Suppliers need to fax the completed forms to the appropriate DME MAC fax numbers that is listed at the bottom of the form. CMS published the following instructions on filling out the forms:

• For “Supplier Information“—Complete all fields
• Important— list all PTANs for which you request these reopenings

For “Beneficiary Information”—Complete only as follows:

Dme Mac Jurisdiction D Supplier Manual

• Reason for Adjustment: Check “Other”
• Comments: State “Please adjust my previously processed claims for the PTAN(s) listed above for the HCPCS covered in CR 11635.”

Below are the links to the DME MAC Reopening Request Forms:

Dme Mac Jurisdiction D Online Supplier Manual

You can find the full announcement under, “Update regarding Implementation of Section 106 of the Further Consolidated Appropriations Act, 2020” on CMS’ website.