Supplier Manual - JA DME
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Supplier Manual
The information previously consolidated into Supplier Manual Chapters is now located in the website for improved access to individual topics. The contents of each chapter with hyperlinks to access individual topics is provided below.
To enroll as a Medicare DME supplier, there are requirements that must be met. View the National Provider Enrollment (NPE) East website to read articles, access learning & educational information, view resources and learn about Supplier enrollment related processes, rules, and regulations. The website provides guidance on the steps necessary to becoming a DMEPOS supplier.
See the Noridian webpage for Enrollment information including enrollment applications and electronic funds transfers.
- Advance Beneficiary Notice of Noncoverage (ABN)
- Back-Up Equipment
- Beneficiaries Entering Medicare
- Beneficiary Authorization
- Comprehensive Error Rate Testing (CERT)
- Continued Use and Continued Medical Need
- Documentation Requirements
- Documenting Repair Claims
- Medical Record Information
- Medicare HMO Beneficiaries Transferring to Fee-For-Service Medicare
- Miscellaneous Documentation Issues (Delivery Fees)
- Pick-up Slips
- Proof of Delivery
- Refill Documentation
- Requirement of New Orders
- Same/Similar Equipment and ABNs
- Standard Written Order
- Starting a New Capped Rental Period
- Supplier Documentation
- Who can Order? (including PECOS Edits, Nurse Practitioners or Clinical Nurse Specialist Rules Concerning Orders and CMNs, and Physician Assistant Rules Concerning Orders and CMNs
- Capped Rental Items
- Customized Items
- DMEPOS and Inpatient Stays
- Inexpensive or Other Routinely Purchased DME
- Items Requiring Frequent and Substantial Servicing
- Other Prosthetic and Orthotic Devices
- Oxygen and Oxygen Equipment
- Parenteral/Enteral Nutrition Therapy
- Payment Categories
- Repairs, Maintenance and Replacement
- Assignment Agreement
- Beneficiary Signature Requirements
- Claim Submission
- Clean Claims - Payment/Interest
- CMS-1500 Claim Form
- Consolidated Billing
- Definition of a Claim for Payment
- Hospice
- Incomplete or Invalid Claims Processing Terminology
- Mandatory Claim Filing
- Medically Unlikely Edits
- Medicare Advantage Plans
- Participation Program
- Place of Service
- Time Limit for Filing Claims
- Upgrades
