Each step is explained below if you need additional information. The process for Pharmacy Accreditation is similar, but pharmacies should refer to the Pharmacy Accreditation Standards Guide.
Please note that prior to enrolling in Medicare, you must obtain a National Provider Identifier (NPI). Your NPI is a required field on your enrollment application, and applying for the NPI is a separate process from Medicare enrollment. To obtain an NPI, you may apply online on the CMS website. More information about NPI enumeration can be found on the National Provider Identifier Standard page of the CMS website.
The BOC Accreditation Standards Guide, which encompasses CMS Quality and Supplier Standards, is an easy-to-use document that helps to explain what is required for your facility to be in compliance with and meet accreditation requirements for BOC and CMS. A condensed version of the CMS DMEPOS Supplier Standards is also available.
You can apply online by creating an account through MyBOC or download the application form. Either way, your application should include all appropriate fees and required signatures. Please note that BOC does not offer refunds.
Our facility accreditation team will carefully review your application and all documentation to determine you are ready for your on-site survey. The surveyor will visit your facility during the business hours listed on your application.
CMS requires an unannounced on-site survey, which will assess, verify and document compliance with the BOC Accreditation Standards Guide. The BOC on-site surveyor will determine your compliance with standards regarding business practices, as well as patient care standards.
Meeting BOC facility accreditation standards is intended to improve your business practices and help you obtain and/or maintain a Provider Transaction Number (PTAN). We realize that meeting these standards may be challenging. After you review the standards in their entirety, please contact us if you have any questions. The site surveyor may at his or her discretion ask to inspect additional factors as detailed in the BOC Facility Accreditation Standards. All surveyed facilities are expected to comply with the surveyor's verification requests in order to maintain compliance with the CMS DMEPOS Supplier Standards (see Standard #8).
We've created the BOC site survey checklist to help you prepare.
Your accreditation status will be determined by our review team based on the results of your site survey. To be awarded BOC Facility Accreditation, you will need to meet 100% of the BOC Facility Accreditation Standards during the site survey.
Once our team reviews your survey results, you will be notified of your accreditation status. You will be notified that your facility is accredited or has deficiencies that require a corrective action plan.
Once our team verifies that your facility meets 100% of BOC’s standards, accreditation is awarded. You will receive a certificate bearing the BOC seal with your facility’s name and the product categories that you are accredited to provide. To obtain your Provider Transaction Number (PTAN), which allows you to bill CMS, you will need to submit a Medicare Enrollment Application, or CMS Form 855S, to the National Supplier Clearinghouse (NSC). CMS requires DMEPOS suppliers to complete CMS Form 855S and submit it along with a copy of your accreditation certificate to NSC. Please note that BOC and NSC are not related organizations and BOC has no control over how long NSC will take to issue your PTAN.
While accreditation is valid for three years, you must meet annual renewal requirements to maintain your accreditation. Therefore, your certificate date will reflect one year of validation. Once we receive your required renewal documentation, you will be sent a new certificate valid for one year. During year three, your facility must be reaccredited. For more information, please see our renewal page.
Deficiency and Jeopardy Notification
If your facility does not meet 100% compliance, your facility may receive a “deficiency” or “jeopardy” notice. If you receive either notice, you will have the opportunity to make corrections. Please review the following scenarios:
If your facility is found to have deficiencies of a non-critical* nature, you will be given the opportunity to correct the deficiencies. However, an additional site survey may be required depending on the number and nature of the non-critical deficiencies. Your facility can then reach a 100% score and become accredited.
If your facility is noted for one deficiency of a critical* nature, a jeopardy letter will be generated and you will be given the opportunity to correct deficiencies within 30 days. An additional on-site visit will be required to verify that the correction has been made.
*A critical deficiency is anything that is potentially harmful to beneficiaries and/or employees or evidence of fraudulent billing.
To obtain your Provider Transaction Number (PTAN), which allows you to bill CMS, you will need to submit a Medicare Enrollment Application, or CMS Form 855S, to the National Supplier Clearinghouse (NSC). CMS requires DMEPOS suppliers to complete CMS Form 855S and send it to them along with a copy of your accreditation certificate to NSC. Please note that BOC and NSC are not related organizations and BOC has no control over how long NSC will take to issue your PTAN.
In compliance with CMS requirements, BOC-accredited facilities must be reaccredited every three years. You will need to submit your reaccreditation application, required documentation, and accreditation fees. Please submit this information 4-6 months prior to your expiration date so we can get started on your reaccreditation as soon as possible. The reaccredition process is the same as the accreditation process.
"I was intimidated by the accreditation process. But under your guidance, I was able to complete all necessary paperwork and had a great site visit. Thank you, BOC!"
“You guys are super. BOC has a Five Diamond Award according to Bailey’s Medical Equipment and Supplies!”
Trisha M. Bailey
“The relocation of our facility and recent reaccreditation process were difficult and stressful transitions for us, but BOC somehow made them seamless for my staff and me. The most amazing part was the ease of communication we felt with BOC.”
“As a 17-year breast cancer survivor, I know the importance of quality care. With the support and guidance I have received from BOC through the accreditation and reaccreditation processes, I feel well-equipped to help women with cancer look and feel better about themselves.”
“BOC simplifies the sometimes confusing process of accreditation. They walked us through each step, building our confidence and helping us to make sure we had all of our ducks in a row.”
We were unsure of who we would work with for accreditation, and we’re so glad we chose BOC! They were available and helpful, responding quickly to our questions and concerns. BOC has the highest-caliber people out there.
"We were unsure of who we would work with for accreditation, and we’re so glad we chose BOC! They were available and helpful, responding quickly to our questions and concerns. BOC has the highest-caliber people out there."
"Making the switch to BOC from our previous accrediting organization was a breath of fresh air! Their reputation for providing excellent customer service is spot-on, and we are very pleased to be BOC accredited."