Follow up on Medicare Supplier Compliance
Doug Wacker, CPO,LPO
Description
Collection
Title:
Follow up on Medicare Supplier Compliance
Creator:
Doug Wacker, CPO,LPO
Date:
4/13/2010
Text:
I have had the email full with information and need to update everyone on the status as of today. Texas is under Region C Medicare. You must call your Clearinghouse to find out if you will be required to be Accredited. The information I have so far to pass on to you is as follows:
In Texas, we have licensure. That is another whole ball of wax.
Medicare is stating that for Region C, Orthotist/Prosthetists that are listed on Medicare application as a Medical Supply Company with O&P Personnel, DME are required to be accredited from an accreditation facility and any facility that provides Mastectomy products such as sleeves, garments, breast forms, etc, must be accredited. Basically, what they said is that anything is provided off the shelf, that O&P facility must be accredited if you are listed as a Medical Supply Company with O&P Personnel. This also includes Diabetic Shoes and non-custom inserts. If you provide non-custom shoes, Medicare is stating that you must be accredited.
It all depends how you are listed with Medicare. You must verify with you Clearinghouse.
To find out if you must be Accredited call 866-238-9652, Palmetto GBA- customer service. Give them your PTAN number and they can tell you. I
It took us all day to get this number. Be patient with the person on the other end of the line. They are going to be busy.
Douglass J. Wacker, CPO, LPO
NUTECH Orthotics & Prosthetics, LLC
2422 E. Tyler Ave., Ste. A
Harlingen, TX 78550
ph: 956-412-LEGS (5347)
fax: 956-412-3563
www.nutechoandp.net
=
In Texas, we have licensure. That is another whole ball of wax.
Medicare is stating that for Region C, Orthotist/Prosthetists that are listed on Medicare application as a Medical Supply Company with O&P Personnel, DME are required to be accredited from an accreditation facility and any facility that provides Mastectomy products such as sleeves, garments, breast forms, etc, must be accredited. Basically, what they said is that anything is provided off the shelf, that O&P facility must be accredited if you are listed as a Medical Supply Company with O&P Personnel. This also includes Diabetic Shoes and non-custom inserts. If you provide non-custom shoes, Medicare is stating that you must be accredited.
It all depends how you are listed with Medicare. You must verify with you Clearinghouse.
To find out if you must be Accredited call 866-238-9652, Palmetto GBA- customer service. Give them your PTAN number and they can tell you. I
It took us all day to get this number. Be patient with the person on the other end of the line. They are going to be busy.
Douglass J. Wacker, CPO, LPO
NUTECH Orthotics & Prosthetics, LLC
2422 E. Tyler Ave., Ste. A
Harlingen, TX 78550
ph: 956-412-LEGS (5347)
fax: 956-412-3563
www.nutechoandp.net
=
Citation
Doug Wacker, CPO,LPO, “Follow up on Medicare Supplier Compliance,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 23, 2024, https://library.drfop.org/items/show/231364.