1. A supplier must
be in compliance with
all applicable Federal
and State licensure
and regulatory requirements.
2. A supplier must
provide complete and
accurate information
on the DMEPOS supplier
application. Any changes
to this information
must be reported to
the National Supplier
Clearinghouse within
30 days.
3. An authorized individual
(one whose signature
is binding) must sign
the application for
billing privileges.
4. A supplier must
fill orders from its
own inventory or must
contract with other
companies for the purchase
of items necessary to
fill the order. A supplier
may not contract with
any entity that is currently
excluded from the Medicare
program, any State health
care programs, or from
any other Federal procurement
or non-procurement program.
5. A supplier must
advise beneficiaries
that they may rent or
purchase inexpensive
or routinely purchased
durable medical equipment,
and of the purchase
option for capped rental
equipment.
6. A supplier must
notify beneficiaries
of warranty coverage
and honor all warranties
under applicable State
law, and repair or replace
free of charge Medicare
covered items that are
under warranty.
7. A supplier must
maintain a physical
facility on an appropriate
site.
8. A supplier must
permit YalePharma, or
its agents to conduct
on-site inspections
to ascertain the supplier's
compliance with these
standards. The supplier
location must be accessible
to beneficiaries during
reasonable business
hours and must maintain
a visible sign and posted
hour hours of operation.
9. A supplier must
maintain a primary business
telephone listed under
the name of the business
in a local directory
or a toll free number
available through directory
assistance. The exclusive
use of a beeper, answering
machine, or cell phone
is prohibited.
10. 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.
11. A supplier must
agree not to initiate
telephone contact with
beneficiaries, with
a few exceptions allowed.
This standard prohibits
suppliers from calling
beneficiaries in order
to solicit new business.
12. A supplier is responsible
for delivery and must
instruct beneficiaries
on use of Medicare covered
items and maintain proof
of delivery.
13. A supplier must
answer questions and
respond to complaints
of beneficiaries and
maintain documentation
of such contacts.
14. A supplier must
maintain and replace
at no charge or repair
directly, or through
a service contract with
another company, Medicare-
covered items it has
rented to beneficiaries.
15. A supplier must
accept returns of substandard
(less than full quality
for the particular item)
or unsuitable items
(inappropriate for the
beneficiary at the time
it was fitted and rented
or sold) from beneficiaries.
16. A supplier must
disclose these supplier
standards to each beneficiary
to whom it supplies
a Medicare-covered item.
17. A supplier must
disclose to the government
any person having ownership,
financial, or control
interest in the supplier.
18. A supplier must
not convey or reassign
a supplier number; i.e.,
the supplier may not
sell or allow another
entity to use its Medicare
billing number.
19. A supplier must
have a complaint resolution
protocol established
to address beneficiary
complaints that relate
to these standards.
A record of these complaints
must be maintained at
the physical facility.
20. Complaint records
must include: the name,
address, telephone number
and health insurance
claim number of the
beneficiary, a summary
of the complaint, and
any actions taken to
resolve it.
21. A supplier must
agree to furnish YalePharma
any information required
by the Medicare statute
and implementing regulations.