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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.

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Chapter 1 - Introduction
Chapter 2 - Supplier Enrollment

To enroll as a Medicare DME supplier, there are requirements that must be met. View the National Provider Enrollment (NPE) West website to read articles, access learning & educational information, view resources and learn about Supplier enrollment related processes, rules, and regulations. The New Supplier DMEPOS Enrollment checklist provides guidance on the steps necessary to becoming a DMEPOS supplier.

Want Medicare payments directly deposited into your bank account? See the Noridian Electronic Funds Transfer (EFT) webpage for EFT application assistance and helpful hints.

Chapter 3 - Documentation Requirements
Chapter 4 - Certificate of Medical Necessity (CMN)/DME Information Form (DIF)
Chapter 5 - DMEPOS
Chapter 6 - Claim Submission
Chapter 7 - Crossover Claims
Chapter 8 - Electronic Data Interchange
Chapter 9 - DMEPOS Coverage, Benefit Categories, and Medical Policy
Chapter 10 - Indian Health Services
Chapter 11 - Medicare Secondary Payer (MSP)
Chapter 12 - Pricing
Chapter 13 - Reopenings and Appeals
Chapter 14 - Fraud and Abuse
Chapter 15 - Overpayments and Refunds
Chapter 16 - Coding
Chapter 17 - System Outputs
Appendix

 

Last Updated Thu, 23 Feb 2023 18:26:26 +0000