Supplier Manual - JA DME
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.
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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.
Want Medicare payments directly deposited into your bank account? See the Noridian Electronic Funds Transfer (EFT) webpage for EFT application assistance and helpful hints.
- Advance Beneficiary Notice of Noncoverage (ABN)
- Affordable Care Act (including Face-to-Face, detailed written order, and five-element order)
- Back-Up Equipment
- Beneficiaries Entering Medicare
- Beneficiary Authorization
- Comprehensive Error Rate Testing (CERT)
- Continued Use and Continued Medical Need
- Detailed Written Orders (including reminders)
- Dispensing Orders
- Documentation Requirements
- Documenting Repair Claims
- Medical Record Information
- Medicare HMO Beneficiaries Transferring to Fee-For-Service Medicare
- Miscellaneous Documentation Issues (Delivery Fees)
- Orders (including PECOS Edits, Nurse Practitioners or Clinical Nurse Specialist Rules Concerning Orders and CMNs, and Physician Assistant Rules Concerning Orders and CMNs
- Pick-up Slips
- Proof of Delivery
- Refill Documentation
- Requirement of New Orders
- Same/Similar Equipment and ABNs
- Starting a New Capped Rental Period
- Supplier Documentation
- Certificate of Medical Necessity (CMN)/DME Information Form (DIF)
- Changes to Completed CMN
- CMN Common Scenarios
- CMN Cover Letters
- CMNs as Orders and Claim Submission
- Evidence of Medical Necessity for Oxygen CMN
- Instructions for Completing a CMN and DIF
- Physicians Charging for CMN Completion
- Transmission of CMN
- 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
Last Updated Fri, 24 Jul 2020 13:52:28 +0000