To become a Medicare accredited provider, you have to first apply, and then pass an inspection. The Medicare application is around 27 pages long, and even a single mistake will cause immediate rejection with no discussion. If this happens to you, then you will have to reapply, putting your application at the back of the often quite lengthy queue, and delaying your progress. This can go on indefinitely – there is no guarantee that the error picked up on the first application is the only error, so you could feasibly be rejected multiple times.

The inspection comes next –{ this is similarly rigorous, with there being cases that have been rejected for something as simple as not displaying your license clearly enough.}

 The inspection comes next covering 140 points of compliance that must be put in place in order to achieve Accreditation The medicare application is 27 pages long.  The inspection covers 140 points of compliance This is why engaging Allstate DME Solutions is the best course of action. Your application will be right the first time, and we will also work with you to ensure that you pass inspection. What could take you a great many months to do independently, can be wrapped up much more quickly with our help.

Until recently, for a supplier of durable medical equipment to be reimbursed through Medicare, they would have to have won the right to be a supplier by way of a bidding process. From December 2018 onwards, the supplier environment changed, with suppliers now being able to apply for the right. On successful application, inspection, and accreditation, the supplier is issued with a Provider Transaction Access Number (PTAN) which is used to bill for any DME products – without this, you will not be reimbursed.

No – the two areas are distinct. You are only accredited and can bill for products if you have a PTAN. It can be a more streamlined process to become accredited if you are a Medicare-enrolled physician or medical professional, but you will still need to make sure that it is completed.

Durable Medical Equipment (DME) includes devices and supplies prescribed by a doctor for medical use at home. It is needed by individuals with specific health conditions or disabilities.

To start a DME business, you'll need to create a business plan, obtain necessary licenses, establish supplier relationships, and comply with accreditation requirements.

DME businesses must adhere to accreditation standards set by organizations like the Accreditation Commission for Health Care (ACHC) or the Healthcare Quality Association on Accreditation (HQAA).

The accreditation process duration varies but typically takes several months, involving application submission, on-site surveys, and compliance assessments.

Common challenges include regulatory compliance, reimbursement issues, and competition. Overcoming them involves staying informed, building strong relationships with payers, and implementing efficient business practices.

The DME Consultant can guide your business through accreditation processes, provide expertise on compliance, and offer strategic advice for sustainable growth.

The DME Consultant offers training on accreditation preparation, compliance with industry standards, business operations optimization, and staff education for improved service quality.

Legal considerations for DME providers include compliance with healthcare laws, fraud prevention, and adherence to state and federal regulations governing the DME industry.