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Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)

Section 302 of the Medicare Modernization Act of 2003 added a new paragraph to the Social Security Act (the Act), section 1834(a)(20), requiring the Secretary to establish and implement quality standards for suppliers of DMEPOS. All suppliers that furnish such items or services required in the new paragraph as the Secretary determines appropriate must comply with the quality standards in order to receive Medicare Part B payments and to retain a supplier billing number. The covered items and services are defined in the Act. The Medicare Improvements for Patients and Providers Act of 2008 added a new subparagraph for implementing quality standards which state the Secretary shall require suppliers furnishing items and services on or after October 1, 2009, directly or as a subcontractor for another entity, to have submitted evidence of accreditation by an accreditation organization designated by the Secretary.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 21, 2010

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.