MEDICARE SUPPLIER STANDARDS
We are obligated to inform you
of Medicare’s expectations of the Supplier .
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| 1. |
The
Supplier must be in compliance with all applicable Federal
and State licensure and regulatory requirements. |
| 2. |
The
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.
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The
Supplier must fill orders from its own inventory, or must
contract with other companies for the purchase of items necessary
to fill the order. The 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 programs. |
| 5.
|
The
Supplier must advise beneficiaries that they may rent or purchase
inexpensive or routinely purchased durable medical supplies,
and of the purchase option for capped rental supplies. |
| 6.
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The
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.
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The
Supplier must maintain a physical facility on an appropriate
site. |
| 8.
|
The
Supplier must permit HCFA, 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 hours of operation. |
| 9.
|
The
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.
|
The
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.
|
The
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.
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The
Supplier is responsible for delivery and must instruct beneficiaries
on use of Medicare covered items, and maintain proof of delivery. |
| 13.
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The
Supplier must answer questions and respond to complaints of
beneficiaries, and maintain documentation of such contacts. |
| 14.
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The
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.
|
The
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.
|
The
Supplier must disclose these supplier standards to each beneficiary
to whom it supplies a Medicare-covered item. |
| 17. |
The Supplier must disclose to the government any person having
ownership, financial, or control interest in the supplier. |
| 18.
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The Supplier must not convey or reassign The Supplier number;
i.e., the supplier may not sell or allow another entity to
use its Medicare billing number. |
| 19.
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The
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.
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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.
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The
Supplier must agree to furnish HCFA any information required
by the Medicare statute and implementing regulation. |
You have the responsibility
to:
1. Give accurate and complete health
information concerning your past use of products and any
change in address, doctor, insurance carrier, prescription.
2. Follow instruction in care and use
of all products.
3. Request further information concerning
anything you do not understand.
4. To order supplies or refills on a
timely basis to accommodate reasonable delivery.
5. To pay all invoices that are due;
not covered by their insurance.
6. Accept the consequences of any refusal
or choice of noncompliance, including changes in reimbursement
eligibility.
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|
You have the right to:
1. Choose your health care provider
2. Refuse delivery of any and all products
3. Be informed in advance of charges
for which you will be responsible.
4. Prompt delivery and to be fully informed
on the use, and care of all Connetquot West products in
your home.
5. Have Connetquot West staff communicate
in a language that is understandable to you.
6. Expect all products to be clean and
in good repair.
7. Have your property and person treated
with respect, consideration, and recognition of dignity
and individuality.
8. Expect confidential treatment of all
personal health information we have on file.
9. Have any questions answered promptly,
correctly and courteously.
10. To participate in planning how service
will be provided to you.
11. Express dissatisfaction and suggest changes
without coercion, discrimination, reprisal, or unreasonable
interruption in service.
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