VGMHealthcare MSO
Full Menu

From the Desk of Ronda: Want to Avoid Supplier Number Issues? Read On!

Published in VGM Government Relations on May 16, 2022

Maintaining a supplier number is vital to the supplier’s business. There is an update and a few reminders that need to be shared with the VGM membership that will assist with sustaining smooth operations.

In January 2022, CMS released an MLN article (MLN 905710) with an update related to accreditation requirements and services being offered a DMEPOS company.

The update states the following, "CMS will deny your claims if you aren’t accredited by a CMS approved accreditation organization. Starting January 3rd, 2022, we’ll tell you on your remittance advice if you aren’t properly accredited."

What this means is that you, as the DMEPOS supplier, need to review the products and services your business furnishes within PECOS (or on the 855S application pages 11-13), making sure it matches the information on file with your accreditation organization. If these do not match, it will cause issues with getting claims paid and possibly cause deactivation of your PTAN. The Supplier Standard to reference is standard 25.

With both the accreditation organizations reviewing certifications and performing site surveys and the revalidations with the National Supplier Clearinghouse (NSC), this is the time to review both sets of information to make sure they match, in addition to asking your billing team if they have received any of these denials.

Secondly, a reminder regarding Surety Bonds, supplier standard 26. A DMEPOS supplier must maintain a valid bond that is no less than $50,000. You need to make sure the bond is maintained at $50,000, and you need to make sure it’s renewed annually. When it’s renewed, this needs to be shared with the NSC. Any issues with a surety bond is a risk for PTAN issues, including potential deactivation.

Finally, make sure the correspondence address and contact information are correct in PECOS (or 855s). Any changes to your business that is relevant to following the supplier standards and maintaining billing privileges must be communicated to the NSC within 30 days of the change (pre or post-change). This falls under supplier standard 2.

Please reach out to me with any further questions regarding your supplier number. Also, let me know if you are experiencing any of these issues.

Supplier Standards DMEPOS Basic Fact Sheet

Ronda Buhrmester
Sr. Director of Payer Relations and Reimbursement
ronda.buhrmester@vgm.com
217-493-5440

TAGS

  1. billing & reimbursement
  2. dmepos
  3. reimbursement
  4. vgm
  5. vgm government

From Our Experts

Showing Up...It Matters! thumbnail Showing Up...It Matters! We've all heard the phrase, "Showing up matters." That can mean a lot of different things at different times in our lives, even changing daily. Perhaps it means leaving work early to attend your children's event. Maybe it means not missing that important meeting at work. No doubt, both of those things are important. For us here in the Government Relations corner of VGM Group, it means something additional. Matthew Flatt: A Champion for Change in Home Medical Equipment thumbnail Matthew Flatt: A Champion for Change in Home Medical Equipment In every industry, there are people who do more than simply lead organizations. They inspire progress, build relationships, and create lasting change. In the home medical equipment (HME) industry, Matthew Flatt, CEO of Medicap Home Medical (formerly NuCara Home Medical) and President of the Midwest Association for Medical Equipment Services (MAMES), is one of those individuals... Full Legislative Text Released for Bipartisan Ostomy and Urological Supply Bill- H.R. 10787 thumbnail Full Legislative Text Released for Bipartisan Ostomy and Urological Supply Bill- H.R. 10787 Representatives Brad Schneider (IL-10) and Greg Murphy, M.D. (NC-03) have introduced the bipartisan Access to Medical Supplies Act, legislation designed to protect Medicare beneficiaries who rely on ostomy and urological supplies. The bill would... Action Alert: Support H.R. 10787 to Protect Patient Access to Urological and Ostomy Supplies thumbnail Action Alert: Support H.R. 10787 to Protect Patient Access to Urological and Ostomy Supplies The DMEPOS community has an important opportunity to protect access to vital urological and ostomy supplies for Medicare beneficiaries. Rep. Greg Murphy (R-NC) and Rep. Brad Schneider (D-IL) have introduced H.R. 10787, bipartisan legislation that would amend Title XVIII of the Social Security Act to exclude urological and ostomy supplies from Medicare competitive acquisition programs for five years... CMS Announces Registration and Bid Window Dates for Round 2028 of the DMEPOS Competitive Bidding Program thumbnail CMS Announces Registration and Bid Window Dates for Round 2028 of the DMEPOS Competitive Bidding Program Yesterday, CMS announced the Round 2028 bidding details with registration opening December 1, 2026, and the bid window opening January 5, 2027. The new Round 2028 timeline is as follows... Congratulations to CAMPS On This Important Legislative Victory thumbnail Congratulations to CAMPS On This Important Legislative Victory The signing of AB 1794 is another reminder of the critical role state associations play in shaping healthcare policy, removing barriers to patient care, and ensuring providers have a seat at the table when important decisions are made. Legislative successes like this do not happen by accident. They are the result of engaged members, strong advocacy efforts, and collaboration with policymakers to address real-world challenges facing providers and the patients they serve. S.247, Choices for Increased Mobility Act of 2025, Passes U.S. Senate thumbnail S.247, Choices for Increased Mobility Act of 2025, Passes U.S. Senate S.247, Choices for Increased Mobility Act of 2025 has passed in the Senate through unanimous consent. It now heads to the President to be signed into law. Introduced in the Senate by Sen. Tammy Duckworth (D-IL), The Choices for Increased Mobility Act of 2025 would... August Recess Recap: Building Relationships, Advancing Advocacy thumbnail August Recess Recap: Building Relationships, Advancing Advocacy As Congress worked through the August recess, the VGM Government Relations team remained actively engaged in securing meetings and building relationships with legislators, candidates, and key congressional staff across the country. This summer, the team made a strategic decision to focus getting a strong balance between Republican and Democratic offices, recognizing the importance of broadening support for DMEPOS priorities and ensuring policymakers from both parties understand the challenges..

Together We Will Make Sure You Get Paid

LEARN MORE ABOUT HOW WE CAN HELP