DMEPOS Supplier
In order to receive Medicare reimbursement for supplying surgical dressings, a supplier must enroll in the Medicare program as a durable medical equipment prosthetics, orthotics, and supplies (DMEPOS) supplier. Additionally, DMEPOS suppliers are required to revalidate their enrollment every three years. The Centers for Medicare and Medicaid Services (CMS) also reserves the right to request off-cycle revalidations.
Enrollment Through 11-6-22
Until November 7, 2022, the National Supplier Clearinghouse (NSC) is the single organizational entity responsible for issuing or revoking Medicare supplier billing privileges for suppliers of DMEPOS. November 6, 2022, is the last day that the NSC will process Medicare enrollment and re-enrollment applications for DMEPOS suppliers.
NEW DME Enrollment Contractors
Starting November 7, 2022, two new contractors will process Medicare enrollment applications for DMEPOS suppliers. These are Novitas Solutions and Palmetto GBA. Novitas is referring to its DMEPOS enrollment contractor as “NPEAST” and Palmetto is referring to its DMEPOS enrollment contractor as “NPE WEST.”
NPEAST DMEPOS will be responsible for DMEPOS enrollment applications in Alabama, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Massachusetts, Michigan, Mississippi, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Vermont, Virginia, West Virginia, Wisconsin, District of Columbia, Puerto Rico, and the US Virgin Islands
NPE WEST DMEPOS will be responsible for DMEPOS enrollment applications in Alaska, Arizona, Arkansas, California, Colorado, Hawaii, Idaho, Iowa, Kansas, Louisiana, Minnesota, Missouri, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oklahoma, Oregon, South Dakota, Texas, Utah, Washington, Wyoming, American Samoa, Guam, and the Northern Mariana Islands.
Conclusion
Enrollment in the Medicare program as a DMEPOS supplier is required in order to receive Medicare reimbursement for supplying surgical dressings. The DMEPOS Enrollment Contractors are changing as of November 7, 2022.
Reference:
CMS MLN Connect 2022-09-29-MLNC
https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2022-09-29-mlnc#_Toc115260364
Dr. Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC, CPMA
Dr. Lehrman is a podiatrist practicing in Fort Collins, CO and operates Lehrman Consulting, LLC which provides consultation services regarding coding, compliance and documentation. Dr. Lehrman is a Certified Professional Coder and Certified Professional Medical Auditor. He serves as a staff liaison at the AMA CPT® Editorial Panel meetings where CPT codes are created, edited, and deleted. He is a Diplomate of the American Board of Foot and Ankle Surgery, Fellow of the American Society of Podiatric Surgeons, and is recognized as a “Master” by the American Professional Wound Care Association. Dr Lehrman is a Fellow of the American Academy of Podiatric Practice Management, Past Director of the American Professional Wound Care Association Board of Directors, and is a Past Chairman of the Board of the American Society of Podiatric Surgeons. Dr. Lehrman is also on the editorial advisory board of the journal WOUNDS.
