DME Accreditation

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DMEPOS Accreditation

In November 2006, the Centers for Medicare & Medicaid Services (CMS) approved 10 national accreditation organizations that will accredit suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) as meeting new quality standards under Medicare Part B.

In order to enroll or maintain Medicare billing privileges, all DMEPOS suppliers (except for exempted professionals and other persons as specified by the Medicare Improvement for Patients and Providers Act of 2008) must comply with the Medicare program's supplier standards (found at 42 CFR 424.57 (c)) and quality standards to become accredited. The accreditation requirement applies to suppliers of durable medical equipment, medical supplies, home dialysis supplies and equipment, therapeutic shoes, parenteral/enteral nutrition, transfusion medicine and prosthetic devices, and prosthetics and orthotics.

On March 23, 2010, the President signed HR 3590 into Public Law no: 111-148, which amends title XVII of the Social Security Act to exempt a pharmacy from accreditation if it meets all of the following criteria:

  • the total billings by the pharmacy for DMEPOS are less than 5 percent of total pharmacy sales;
  • the pharmacy has been enrolled as a supplier of durable medical equipment, prosthetics, orthotics and suppliers, as has been issued a provider number for at least 5 years;
  • no final adverse action has been imposed on the pharmacy in the past 5 years;
  • the pharmacy submits an attestation, as determined by CMS, that the pharmacy meets the first three criteria;
  • the pharmacy agrees to submit materials as requested during the course of an audit conducted on a random sample of pharmacies selected annually.
Further information on the DMEPOS accreditation requirements along with a list of the accreditation organizations and the guidance regarding the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) for DMEPOS suppliers can be found on the CMS website link below. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/DMEPOSAccreditation.html

Deemed Accreditation Organizations (as of 2006-12-07)

The CMS HHS 'Competitive Acquisition for DMEPOS Providers' Overview page on the CMS web site provides a PDF version of this list.

  • JCAHO
    http://www.jointcommission.org
    Approved for Categories: All products and services described in Section 1834(a)(13) of the Act, Prosthetic devices, orthotics and prosthetics described in Section 1834(h) of the Act; and items described in Section 1842(s) (2) of the Act.
     
  • National Association of Boards of Pharmacy
    www.nabp.net
    Approved for Categories: DME Diabetic Products and Supplies, Enteral and Parenteral Nutrients and Supplies, Off the shelf products and supplies – Respiratory, Urological, Mobility Aids, Wound Care, and Medical Non Custom Orthotics and Prosthetics
     
  • Board of Orthotist/Prosthetist Certification
    www.bocusa.org
    Approved for Categories: All orthotics, prosthetics, pedorthics; DME, All Respiratory and POV
     
  • The Compliance Team, Inc
    www.exemplaryprovider.com
    Approved for Categories: All mail order and home delivery durable medical equipment, prosthetics, orthotics, and supplies; Home dialysis supplies; therapeutic shoes and inserts
     
  • American Board for Certification in Orthotics & Prosthetics, Inc. - www.abcop.org
    Approved for Categories: Comprehensive orthotics, comprehensive prosthetics, prefabricated custom fitted orthotics, post mastectomy prosthetics, non-custom therapeutic shoes, comprehensive therapeutic shoes, ocular prosthetics, facial prosthetics, somatic prosthetics, Ancillary assistive ambulatory devices (canes, walkers, crutches) for those suppliers who qualify for O&P accreditation
     
  • The National Board of Accreditation for Orthotic Suppliers - www.nbaos.org
    Approved for Categories: Orthotics – custom fabricated, Orthotics – non-customized, Orthotics – custom, Custom and non-customized prosthetics
     
  • Commission on Accreditation of Rehabilitation Facilities
    www.carf.org
    Approved for Categories: Wheelchairs, Prosthetic Devices (including those devices (other than dental) that replace all or part of an internal body organ; Orthotics and prosthetics, including leg, arm, back, and neck braces, artificial legs, arms and eyes, and extra depth shoes with inserts or custom molded soles with inserts; therapeutic shoes; DMEPOS covered by Appendix B (ie. Manual wheelchairs and power mobility devices, including complex rehab and assistive technology) and Appendix C (ie. Custom fabricated custom fitted, custom made orthotics, prosthetic devices somatic, ocular and facial prosthetics, and therapeutic shoes and inserts)
     
  • Community Health Accreditation Program
    http://www.chapinc.org
    Approved for Categories: Diabetic Supplies, Cane, Crutches, Walkers, Commode Chairs, Hospital beds, Traction Equipment
    ... Appendix A: Respiratory equipment, supplies, and services, Oxygen concentrators, reservoirs, high-pressure cylinders, oxygen accessories and supplies, oxygen conserving devices, Home Invasive Mechanical Ventilators, Continuous Positive Airway Devices (RAD), Intermittent Positive Pressure Breathing Devices, Nebulizers
    ... Appendix B: Manual Wheelchairs and Power Mobility Devices, including complex rehab and assistive technology, PMDs: Power wheelchairs, power operated vehicles and accessories, Manual wheelchairs, standard recliners, heavy-duty wheelchairs, standard lightweight wheelchairs, hemi wheelchairs, armrests, leg rests/footplates
    ... Appendix C: Custom fabricated custom fitted, custom made orthotics, prosthetic devices, somatic, ocular and facial prosthetics, and therapeutic shoes and inserts
     
  • HealthCare Quality Association on Accreditation
    www.hqaa.org/
    Approved for Categories: All DME and Custom Orthotics
     
  • Director of Clinical Compliance and Accreditation Accreditation Commission for Health Care, Inc.
    http://www.achc.org/
    Approved for Categories: All DME, Respiratory, Orthotics, Rehabilitation Technology Supplier and Medical Supply Provider Suppliers can call the deemed organizations directly based on the information given on this website.

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