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This document outlines the terms and conditions for participation between Blue Cross Blue Shield of Michigan and Durable Medical Equipment/Prosthetic and Orthotic Suppliers, detailing definitions,
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How to fill out Durable Medical Equipment/Prosthetic and Orthotic Supplier Provider Participation Agreement
01
Obtain the Durable Medical Equipment/Prosthetic and Orthotic Supplier Provider Participation Agreement form from the relevant authority or website.
02
Carefully read the instructions and guidelines provided with the form.
03
Fill in the required provider information, including name, address, phone number, and contact details.
04
Provide the relevant tax identification number and NPI (National Provider Identifier) number.
05
Complete the sections relating to services offered, equipment type, and qualifications.
06
Review any attestation or certification requirements and ensure they are properly addressed.
07
Sign and date the agreement to validate your submission.
08
Submit the completed agreement as per the provided instructions, either electronically or by mail.
Who needs Durable Medical Equipment/Prosthetic and Orthotic Supplier Provider Participation Agreement?
01
Durable Medical Equipment/Prosthetic and Orthotic Supplier Provider Participation Agreement is needed by healthcare providers or suppliers who wish to participate in insurance plans or Medicare/Medicaid programs providing durable medical equipment, prosthetics, or orthotics to patients.
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People Also Ask about
What is DME in prosthetics?
Durable Medical Equipment (DME): Equipment that can withstand repeated use, is primarily and customarily used to serve a medical purpose, generally is not useful to a person in the absence of an illness or injury, and is appropriate for use in the home.
What is a DME provider?
Durable Medical Equipment (DME) Providers that have met extensive performance criteria and offer high quality comprehensive services which may include oxygen, wheelchairs, soft goods and highly specialized items. Typically, these providers can provide service across the country in most geographic locations.
What is a DME company?
A DME (Durable Medical Equipment) company provides medical devices for home use that are designed to aid individuals with various medical conditions or disabilities, ensuring these devices can withstand repeated use and improve quality of life.
Which is an example of DME?
Durable medical equipment (DME) is equipment that helps you complete your daily activities. It includes a variety of items, such as walkers, wheelchairs, and oxygen tanks.
What is the difference between a DME and a pharmacy?
? Convenience & Reliability: DME suppliers offer home delivery and reliable access to the latest diabetes technology, like CGMs and pumps, without the supply chain issues often seen in pharmacies. ? At GNS Medical, we're dedicated to providing diabetes supplies through the DME channel.
What does DME stand for in healthcare?
Durable medical equipment (DME) describes medical equipment and supplies ordered by a healthcare provider for a patient's routine, long-term use. DME refers to a wide variety of devices to meet all manner of medical needs, including: Nebulizers. CPAP/BiPAP machines.
Who can bill for DME?
A Medicare-enrolled physician or treating practitioner orders durable medical equipment. The federal government has standardized the components of DME orders and prescriptions.
What is necessary to qualify for DMEPOS?
In order to obtain and retain Medicare DMEPOS billing privileges, suppliers must: Be in compliance with the current version of the supplier standards. Be selling retail directly to a beneficiary, not solely to another company or organization (such as a nursing home or hospital) Not be on an exclusions database.
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What is Durable Medical Equipment/Prosthetic and Orthotic Supplier Provider Participation Agreement?
The Durable Medical Equipment/Prosthetic and Orthotic Supplier Provider Participation Agreement is a contract that establishes the terms and conditions under which a supplier provides durable medical equipment, prosthetics, and orthotics to beneficiaries, ensuring compliance with regulatory and reimbursement requirements.
Who is required to file Durable Medical Equipment/Prosthetic and Orthotic Supplier Provider Participation Agreement?
Any supplier that intends to provide durable medical equipment, prosthetics, and orthotics to Medicare beneficiaries must file the Durable Medical Equipment/Prosthetic and Orthotic Supplier Provider Participation Agreement.
How to fill out Durable Medical Equipment/Prosthetic and Orthotic Supplier Provider Participation Agreement?
To fill out the agreement, a supplier must provide accurate business information, including the legal business name, tax identification number, contact information, and information about the types of equipment provided. The supplier must sign and date the agreement, confirming their understanding and acceptance of the terms.
What is the purpose of Durable Medical Equipment/Prosthetic and Orthotic Supplier Provider Participation Agreement?
The purpose of the Durable Medical Equipment/Prosthetic and Orthotic Supplier Provider Participation Agreement is to outline the responsibilities and obligations of suppliers in providing services to beneficiaries while ensuring compliance with Medicare policies and guidelines.
What information must be reported on Durable Medical Equipment/Prosthetic and Orthotic Supplier Provider Participation Agreement?
Suppliers must report information such as their legal business name, mailing address, telephone number, tax identification number (TIN), NPI (National Provider Identifier), as well as specific details regarding the services and products offered, and any applicable licensing or certifications.
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