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Home Areas of InterestAdvocacyFederal Issues & ResourcesMedicare DMEPOS

Durable Medical Equipment, Prosthetic, Orthotic, & Supplies [DMEPOS]

There are many regulations governing the supply of DMEPOS items for Medicare beneficiaries. Physical therapists should understand how supplier enrollment, accreditation, and competitive bidding impact their ability to provide these items to their patients. In addition, there are several regulations regarding the provision of power mobility devices. The information below helps explain the various regulations for DMEPOS as well as APTA efforts to ensure that PTs are able to supply needed items to their patients.

Click here for APTA's DMEPOS Competitive Billing Resource Center

DMEPOS
DMEPOS Quick Reference Guide (.pdf) - 5/14/09 Restricted
Additional Medicare DMEPOS Supplier Enrollment Standards - Comments (.pdf) - 3/25/08
Additional Medicare DMEPOS Supplier Enrollment Safeguards: Proposed Rule (.pdf) - 2/1/08 Restricted
Reporting the NPI & EY Modifier for DMEPOS Claims - 12/5/07
CMS Durable Medical Equipment Supplier Enrollment Brochure
DMEPOS Certificates of Medical Necessity (.pdf) - 5/10/07
DMEPOS CMNs and DIFs for Claims Processing: Transmittal 167 (.pdf) 10/27/06
CMS DMEPOS Resource Page
FAQs: Billing for DME, Orthotics and Prosthetics
Region B Council Q & A

DMEPOS Competitive Bidding
Competitive Bidding Areas for Round I Rebids (.pdf) - 9/2/09
Items & Services for Round I Rebids (.pdf) - 9/2/09
Subcontracting of DMEPOS Services Under Round I Rebid (.pdf) - 9/2/09
Program Instructions for Round I Rebid for CY2009 (.pdf) - 8/11/09
CMS DMEPOS Competitive Bidding Resource Center
Manual Revisions to Reflect Special Billing Instructions for DMEPOS Under Competitive Bidding - 6/26/08
Marketing Rules for DMEPOS Suppliers under the Competitive Bidding Program (.pdf) - 5/30/08
Payment for Complex PMD Provided Prior to July 1, 2008 - 5/21/08
Revisions to Medicare Claims Processing Manual as Result of Competitive Bidding (.pdf) - 5/9/08
HHAs Providing DME in Competitive Bidding Areas (.pdf) - 2/1/08
Summary: DMEPOS Competitive Bidding Rule (.pdf) - 4/6/07 Restricted
DMEPOS Competitive Bidding Provisions Summary (.pdf) - 8/3/06 Restricted
DMEPOS Competitive Bidding Comments (.pdf) - 6/30/06 Restricted
Summary: CMS Proposed Rule on Competitive Bidding - May 2006 (.pdf) Restricted

DMEPOS Accreditation
PTs Exempt from Accreditation Under MIPPA (.pdf) - 9/29/08
Medicare: Draft Quality Standards for Suppliers of DMEPOS - Comments (.pdf) - 3/17/08
Summary of New Quality Standards for DMEPOS Suppliers (.pdf) - 8/18/06 Restricted
APTA Comments on DMEPOS Quality Standards for Suppliers (.pdf) - 11/28/05 Restricted
DMEPOS Proposed Quality Standards Action Request (.pdf) - 11/10/05

DMEPOS Power Mobility
Power Mobility Devices FAQs: ATP & ATS Requirements - 5/5/08
Medicare Administrative Contractor Announcement of RESNA ATP Requirement Elimination (.pdf) - 12/6/07
RESNA ATP Certification Requirement for PTs Eliminated - 12/5/07
APTA Reconsideration Request (.pdf) - 8/15/07 Restricted
CMS Requires Certification for Providers of Power Mobility Devices (.pdf) - 3/8/07
APTA Comments Regarding Draft LCD for Power Mobility Devices (.pdf) - 10/05 Restricted
INDEPENDENCE iBOT 4000 Mobility System (.pdf)
Comments on Draft Coverage Determination for Mobility Devices - 2/24/05 Restricted
APTA Comments to CMS on Mobility Devices - 02/15/05
Comments to CMS Regarding Draft Decision Memo for Mobility Assistance Equipment (Word) - 1/27/05 Restricted

DMEPOS Surety Bond Requirements
MLN Article: Surety Bond Requirement for DMEPOS Suppliers - 4/17/09 Restricted
CMS Transmittal 287: Surety Bond Requirement (.pdf) - 4/9/09
Final Rule; Surety Bond Required for DMEPOS Suppliers: APTA Summary (.pdf) - 1/12/09 Restricted
DMEPOS Surety Bond Requirement - APTA Comments (.pdf) - 9/25/07 Restricted
DMEPOS Surety Bond Proposed Rule Summary (.pdf) - 9/21/07 Restricted
 
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