Durable Medical Equipment (DME) Accreditation and State License

     A Durable Medical Equipment License, sometimes abbreviated as DME License, is vital to any aspiring medical professional. Elite Accreditation is the best company for a DME Accreditation consultation.

 

 Durable medical equipment includes medical supplies, from hospital beds, electric wheelchairs, & lift chairs. DME Supplies are a broad category, and attempting to ascertain reimbursement from Medicare without the proper state license and accreditation will be the company's demise. Individual states do not require a permit; some states** do and include more strict guidelines through state regulations as to who can and cannot own a license for DME. 

 

Suppose you want your business to be able to make the most of the Private Insurance, Medicare, MediCal | Medicaid, and Cash Payer types. In that case, Elite Accreditation's DME accreditation consultation is imperative for you to retain. We have helped hundreds of newly started companies save hundreds of thousands of dollars in preventing them from making mistakes of others and giving them the confidence needed to start up a new DME Company successfully. 

 

Accreditation and Licensing are a requirement for Medicare, MediCal | Medicaid, Private Insurance, and Even Cash Paying Patients. Medicare Requires it; Private Insurances are following their lead. Act Today to Ensure your Vitality in this very competitive market. 

 

    Center for Medicare and Medicaid wrote into federal regulations around twenty years ago that all DME Companies that expect to receive reimbursement must have the Medicare Deem Status that gives them the "Accredited Status." As should be supposed, durable medical equipment is also intended to be sustainable, withstand multiple uses, and be used by various patients. A proper durable medical equipment license will enable you to use the best medical products out there legally. Having skilled & trained staff, orientation trained on the facility and business with facility quality improvement initiatives are just some ways that Medicare Standards in Regulations are written to enforce integrity filled DME Company. The amount of fraudulent activity in this healthcare business sector has been absurd and gross in the years past. The government has taken much time and resources to build systems into place that go to prevent this from recurring in the future years. So you and your business must be set up to enforce internal policies that go great lengths to protect you and your staff from wrongful incrimination against overbilling, upcoding, and not have the medical necessity from the physician that goes to justify the DME product ordered.

 

Thanks to our customer base of over 515 (as of 9/21) clients already served, we have streamlined this process of obtaining the necessary licenses and accreditation. We have mastered this process to understand what has to be done and when it must be done, not just for our home base of California but for the entire 50 US States and Regions. Thanks to the accreditation consultants at Elite Accreditation, it is no problem for us to obtain your DME accreditation or DME license for your business and get you on the right path to success.

 

Our staff is prepared to offer you one of two packages to get your DME business up and operational:

Package A is a full-service package whereby we come to your site and implement the executable items necessary to get you accredited. While doing this, we educate and train you and your staff on what we are doing and why we do it. We provide the labor involved in completing the necessary tasks for your initial survey. Plus, you get our policy and procedure manual for new DME, the employee handbook for DME, Job descriptions, performance evaluations, quality plans with studies identified for initial start-ups, a physical review of all your applications, including Medicare's 855, 580, and 460. Also, last but not least, we provide you with full support while at your site and after we have left your facility. 

 

{airfare, hotel, food are all included in package A}

 

 Package B is our more affordable package. This package provides you with everything you need, like Package A, except for the significant difference in labor. We do not do the work for you; we merely guide you to the same rewards and goals as the first package. The difference is labor and travel expenses between the two boxes.

 

Package A - *$12,500.00

 

Full Labor support of 40 hours

 

Unlimited Phone Support

 

Unlimited Email Support

 

Policy and Procedures Manuals

 

Application(s) Execution and Submission of 855/460/588

 

State & CMS* Applications

 

Employee File Preparation

 

Facility Set-Up

 

Billing System Determination and training coordinated with the chosen software application.

 

Medical Record and Forms Determinations

 

Budget Establishment

 

Marketing Plans

 

DME Product and Inventory PAR establishment

 

Hotel, Airfare, Car Rental, and Lunches (Because of the worldwide Pandemic, Covid-19 and its variants, we are trying our best to keep and maintain the health of our staff and you!  Therefore, we will do as much as possible in our home offices located in Los Angeles)

          

 

Package B - *$5995.00

 

Take Package A and subtract out the labor, Hotel, Airfare, Lunches, Car Rental, leaving you with everything above in package A but we act openly as a consultant, whereas in package A we do the work for you. In this package, we instruct you on how to do the job.      

 

CMS*-Centers for Medicare Services

**State Licensure is required of any DME business wishing to sell products online, out of state licenses are required for all 50 states across the U.S.-the additional fee of $5K is added to the package for the out of state licensure attainment     

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Package B (no labor)

Not sure if DME is right for you?  Download this tool to help you learn the good and the bad with DME ownership.

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Robust DME Billing Software, we are impressed!
Do you own a DME Company, but need help in securing more revenues with provider enrollment with the insurance companies as an in-network provider?  Find out more here.

Did you know that:  
A supplier must have comprehensive liability insurance in the amount of at least $300,000 that covers both the supplier’s place of business and all customers and employees of the supplier. If the supplier manufactures its own items, this insurance must also cover product liability and completed operations. You will need to add BOC(Board of Certification/Accreditation) and NSC(National Supplier Clearinghouse) as the certificate holders.

Liability Insurance needed for accreditation:
A supplier must have comprehensive liability insurance in the amount of at least $300,000 that covers both the supplier’s place of business and all customers and employees of the supplier. If the supplier manufactures its own items, this insurance must also cover product liability and completed operations. You will need to add the accreditation firm you hired to do your survey and NSC(National Supplier Clearinghouse) as the certificate holders.

DMEPOS Surety Bond needed:

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.   

Enrolled DMEPOS suppliers, subject to the bonding requirement, are required to obtain and submit $50,000 bond for each National Provider Identifier (NPI) by October 2, 2009 to the National Supplier Clearinghouse (NSC). Since DMEPOS suppliers must obtain an NPI by practice location, except for sole proprietorships.  For example, an organizational DMEPOS supplier with 20 practice locations would be required to secure a $1 million surety bond.

DMEPOS suppliers exempt from bonding requirement: (1) Government-owned suppliers that have provided CMS with a comparable surety bond under state law. The surety bond shall state that CMS is an obligee and cover obligations concerning claims, (2) State-licensed orthotic and prosthetic personnel in private practice making custom made orthotics and prosthetics if the business is solely-owned and operated by said personnel and is billing only for orthotic and prosthetics, and supplies, (3) Physicians and non-physician practitioners if the DMEPOS items are furnished only to his or her patients as part of his or her professional service, and (4) Physical and occupational therapists if: (1) the business is solely-owned and operated by the therapist, and (2) if the DMEPOS items are furnished only to his or her patients as part of his or her professional service.