Under CR6528, the National Supplier Clearinghouse Medicare Administrative Contractor allows the DMEPOS arrangements if the following conditions are met:
- The title to the DMEPOS shall be transferred to the enrolled physician or non-physician practitioner’s practice at the time the DMEPOS is furnished to the beneficiary.
- The physician or non-physician practitioner’s practice shall bill for the DMEPOS supplies and services using their own enrolled DMEPOS billing number.
- All services provided to a Medicare beneficiary concerning fitting or use of the DMEPOS shall be performed by individuals being paid by the physician or non-physician practitioner’s practice, not by any other DMEPOS supplier.
- The beneficiary shall be advised that, if they have a problem or questions with the DMEPOS, they should contact the physician or non-physician practitioner’s practice, not the DMEPOS supplier who placed the DMEPOS at the physician or non-physician practitioner’s practice.
Also under the rule, NSC-MAC will verify that no more than one enrolled DMEPOS supplier will maintain inventory at the same practice location.
Read the MLN Matters article about the DME sales change request revision (pdf).
