If you are a currently accredited pharmacy that meets the exemption criteria who desires to no longer be accredited, you may submit a signed copy of the accreditation exemption statement shown below anytime after January 1, 2011. You do not have to wait until your accreditation has ended. The National Supplier Clearinghouse (NSC) will send you an acceptance by mail. If you do not qualify for the exemption, the NSC will notify you that your accreditation exemption statement has been rejected and provide an explanation for the rejection. It is recommended that you do not terminate your accreditation until you receive notice from the NSC that your accreditation exemption statement has been accepted. We make this recommendation because if you are no longer accredited and do not qualify for the exemption, your Medicare billing privileges will be revoked.
Full Answer
Can a new pharmacy get an accreditation exemption?
The pharmacy’s Medicare billing for DMEPOS, other than drugs and pharmaceuticals which ... The National Supplier Clearinghouse (NSC) will send you an acceptance by mail. If you do not qualify for the exemption, the NSC will notify you that your accreditation exemption ... Attestation for Exemption from Accreditation for a Medicare Enrolled ...
Does a new pharmacy need to be DMEPOS accredited?
The National Supplier Clearinghouse (NSC) will send you an acceptance by mail. If you do not qualify for the exemption, the NSC will notify you that your accreditation exemption statement has been rejected and provide an explanation for the rejection.
Who is exempt from the DMEPOS accreditation and surety requirements?
DMEPOS Pharmacy Information To supply Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), all pharmacies . must get . accredited. from a . CMS-approved national Accreditation Organization (AO) or an . exemption. from the National Supplier Clearinghouse (NSC). Accreditation Exemption. To qualify for an exemption, you must ...
How does an accreditation exemption attestation work?
Dec 01, 2021 · Section 1865 (a) (1) of the Social Security Act (the Act) permits providers and suppliers "accredited" by an approved national accreditation organization (AO) to be exempt from routine surveys by State survey agencies to determine compliance with Medicare conditions. Accreditation by an AO is voluntary and is not required for Medicare ...
What is DMEPOS in Medicare?
Section 302 of the Medicare Modernization Act (the Act) required the Secretary to establish and implement quality standards for suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). All suppliers that furnish Durable Medical Equipment (DME), prosthetic device, prosthetic, or orthotic items or services must comply with the quality standards in order to receive Medicare Part B payments and to retain a supplier billing number. Covered items include: DME
How long does a supplier have to accredit a new site?
Accreditations are non-transferable. However if the buyer is accredited, the buyer’s accreditor may accredit the new supplier location for three months after it is operational without requiring a new site visit.
Where is the DMEPOS program?
As part of the ongoing DMEPOS Provider Enrollment Demonstration Project in South Florida and Southern California, certain selected DMEPOS suppliers in the demonstration locales will receive a letter from the NSC requiring the supplier to obtain accreditation by the date specified in the NSC letter.
Does the NSC need to know if a supplier is accredited?
The NSC needs to know if a supplier is accredited prior to issuing an enrollment number, thus they will need to verify the accreditation status with the AO.
When did CMS approve DMEPOS?
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.
What is a pharmacy attestation?
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.
When was the DMEPOS bond required?
The Centers for Medicare & Medicaid Services (CMS) published a final rule titled, “Medicare Program: Surety Bond Requirement for Suppliers of Durable Medical equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)” in the Federal Register on January 2, 2009. This final rule implemented Section 4312 (a) of the Balanced Budget Act of 1997 and requires certain DMEPOS suppliers to obtain and maintain surety bond on continuing basis. Section 4312 (b) requires that a surety bond be in amount of not be less than $50,000.
How do I get started?
The first step in the process is to confirm that the program meets your pharmacy’s needs and that your pharmacy is able to demonstrate compliance with the eligibility requirements, standards, and on-site survey. Once you deem you are ready for accreditation, you will need to apply.
Interested in learning more?
Practices that demonstrate compliance and high-quality patient care can earn this voluntary accreditation and better position their business to patients. Complete the accreditation form to request more information.
Eligibility
To apply for an NABP accreditation, businesses must meet basic eligibility requirements. To avoid unnecessary delays, review the DMEPOS Pharmacy Accreditation eligibility requirements below to determine if you are qualified to apply.
Apply
Once your request has been submitted, it may take up to 3 business days for processing. You can track the status of your request in e-Profile.
Apply for DMEPOS Pharmacy Accreditation
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Maintaining DMEPOS Pharmacy Accreditation
DMEPOS Pharmacy accreditation is issued for a three-year term. NABP requires an annual compliance review and program participation fees in year two and year three.
When did CMS revoke Medicare?
For the reasons explained, I find that CMS is entitled to summary judgment that it was authorized to revoke Petitioner’s Medicare enrollment and billing privileges effective April 18, 2013.
Is Palmetto GBA a Medicare provider?
The National Supplier Clearinghouse (NSC) of Palmetto GBA, a contractor for the Centers for Medicare & Medicaid Services (CMS), revoked the Medicare enrollment and billing privileges of R.B. Hughes Drug, Inc., doing business as Halifax Pharmacy (Petitioner), for not providing information to NSC upon request and not complying with the accreditation requirements for suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). Petitioner requested a hearing, arguing that it is exempt from the accreditation requirement, and CMS moved for summary judgment.