Why DMEPOS Accreditation?
CMS has released their final rule regarding the implementation of the Lymphedema Treatment Act, which outlines how they intend to begin covering compression garments and related accessories for patients diagnosed with lymphedema.
Effective January 1, 2024, Medicare Part B will cover a new benefit category for lymphedema compression treatment items for patients diagnosed with lymphedema who have a prescription for the compression supplies, such as:
- custom and standard fit daytime garments (3 sets every 6 months)
- custom and standard fit nighttime garments (2 sets every 2 years)
- custom and standard fit gradient compression wraps with adjustable straps
- bandaging supplies
- related accessories
- CMS is creating 57 new HCPCS codes to better represent additional lymphedema related compression products.
- CMS is creating 9 additional new A-codes to replace 9 existing S-codes (S8420-S8428) that currently represent compression sleeves, gloves, gauntlets, wraps, and bandages.
Board of Certification/Accreditation (BOC) accredits businesses that provide DME, allowing them to bill third-party payors, including CMS. With over 35 years of credentialing experience, BOC provides nationally acclaimed, award-winning customer service and is highly respected in the field. We believe every aspect of your experience should be meaningful, efficient, and smooth. That’s why we hold ourselves accountable to rigorous standards of quality and service. Our award-winning team of experts is committed to ensuring you are informed and prepared for every step toward achieving credentials for your business.
New Supplier DMEPOS Enrollment
Adding DMEPOS accreditation to your practice is a streamlined process, outlined below. The investment you make now can benefit your practice and your patient community for years to come.
Step 1: Obtain a National Provider Identifier (NPI)
Visit nppes.cms.hhs.gov to create an account and apply.
Step 2: Obtain Accreditation
BOC is one of eight CMS-deemed accrediting organizations and has an accreditation product tailored specifically for lymphedema and compression garments. Apply for accreditation with BOC here.
Step 3: Obtain a Valid Surety Bond for $50,000
Visit fiscal.treasury.gov to apply.
Step 4: Obtain General Liability Insurance of at Least $300,000
Confirm coverage with your insurance provider.
Step 5: Adhere to DMEPOS Supplier Standards
Review the standards here.
Step 6: Register for PECOS and Submit Application Fee
Step 7: Complete 855S Enrollment Application via PECOS
Once your Medicare provider/supplier enrollment application is submitted, await application processing.
Additional Resources And Information
|Lymphedema/Compression Accreditation Application||View|
|Lymphedema/Compression Site Survey Checklist||View|
|Lymphedema/Compression Product Category List||View|
|DMEPOS Supplier Enrollment Checklist||View|
|Lymphedema Treatment Act FAQs||View|
|Lymphedema Compression Treatment Items: Implementation Guide||View|
Accreditation consultants are independent contractors who have an excellent knowledge of CMS Quality and Supplier Standards and BOC Accreditation Standards.
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