CMS bulks up PA program - HME News

• Home medical device retailers. California HMDR Exemptee online training certification class. Earns a course completion certificate accepted by the California Department of Public Health - Food and Drug Branch.

Read the full article:  CMS bulks up PA program - HME News

"CMS has added seven codes for complex rehab power mobility devices and five codes for support surfaces to the national prior authorization program, AAHomecare reports. 

Additionally, CMS has added four codes for home oxygen therapy to the “master list” of codes potentially subject to prior authorization. Those codes are E1390, E0466, E0784 and L0650."

According to:

Medicare Program; Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items; Update to the Master List of Items Frequently Subject to Unnecessary Utilization

"This document announces the addition of four Healthcare Common Procedure Coding System (HCPCS) codes to the Master List of Items Frequently Subject to Unnecessary Utilization that could be potentially subject to Prior Authorization as a condition of payment."

"This update reflects the addition of four new items that meet the updated Payment Threshold that are listed in an OIG or GAO report of a national scope or a CERT DME and/or DMEPOS Service Specific Report(s)."

"HCPCS  Description

E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate.

E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell).

E0784 External Ambulatory infusion pump, insulin.

L0650 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf."

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Home medical device retailers. California HMDR Exemptee online training certification class. Earns a course completion certificate accepted by the California Department of Public Health - Food and Drug Branch.

For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):

• CA Designated Representative Wholesaler Training - Available around-the-clock 24 x 7
• CA Designated Representative 3PL Training
• CA Designated Representative Reverse Distributor Training  
• The Designated Representative Institute

     Florida:

• Florida Certified Designated Representative - CDR Laws and Rules Examination Prep Course

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

• CA Home Medical Device Retailer (HMDR) Exemptee Training Course
• The Exemptee Institute

Dozens Charged in Massive DME Fraud Scheme Worth More than $1 Billion - HomeCareMag.com

• For home medical device retailers - California HMDR Exemptee - Online training certification course. Earns a completion certificate accepted by the California Department of Public Health (Food & Drug Branch).

Read the full article:  Dozens Charged in Massive DME Fraud Scheme Worth More than $1 Billion - HomeCareMag.com

"The defendants allegedly participated in health care fraud schemes involving more than $1.2 billion in loss. The Center for Medicare Services’ Center for Program Integrity also announced today that it took administrative action against 130 DME companies that had submitted more than $1.7 billion in claims, netting more than $900 million in payments."

Learn more about the fraud scheme:

• Billion-Dollar Medicare Fraud Bust - FBI Announces Results of Operation Brace Yourself (FBI.gov)
• Federal Indictments & Law Enforcement Actions in One of the Largest Health Care Fraud Schemes Involving Telemedicine and Durable Medical Equipment Marketing Executives Results in Charges Against 24 Individuals Responsible for Over $1.2 Billion in Losses (DOJ)

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For home medical device retailers - California HMDR Exemptee - Online training certification course. Earns a completion certificate accepted by the California Department of Public Health (Food & Drug Branch).

For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):

• CA Designated Representative Wholesaler Training - Available around-the-clock 24 x 7
• CA Designated Representative 3PL Training
• CA Designated Representative Reverse Distributor Training - New!
• The Designated Representative Institute

     Florida:

• Florida Certified Designated Representative - CDR Laws and Rules Examination Prep Course

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

• CA Home Medical Device Retailer (HMDR) Exemptee Training Course
• The Exemptee Institute

DMEPOS State License Directory - Palmetto GBA

• California HMDR Exemptee Training Certification Course (accepted by the California Department of Public Health - Food and Drug Branch) - for home medical device retailers

Updated July 20, 2019

You might also be interested in the updated NSC State Licensure Map (DMEPOS State License Directory)

- - -  the original post follows below  - - -

DMEPOS State License Directory For California HMDR Exemptee License

This directory is a great resource that helps identify licenses you need.  I've selected this particular California page in the directory. Note that there are quite a number of California Home Medical Device Retailer (HMDR) Exemptee mentions. Most notable is ...

DMEPOS State License Directory - California:

"MUST HAVE a[n] EXEMPTEE HMDR , or a Pharmacist license, if providing the following items: Legend devices (RX only label), oxygen, TENS units, CPAP, Nutritional feeding kits (w/syringes), IV pumps. (Any item that has a caution (legend) that is only for sale by or by order of a physician. It is not an item that can be purchased over the counter but must be prescribed.) The EXEMPTEE or Pharmacist must be an employee and under full control of these items during dispensing of prescription devices."

'via Blog this'

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California HMDR Exemptee Training Certification Course (accepted by the California Department of Public Health - Food and Drug Branch) - for home medical device retailers

For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):

• CA Designated Representative Wholesaler Training - Available around-the-clock 24 x 7
• CA Designated Representative 3PL Training
• CA Designated Representative Reverse Distributor Training  
• The Designated Representative Institute

     Florida:

• Florida Certified Designated Representative - CDR Laws and Rules Examination Prep Course

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

• CA Home Medical Device Retailer (HMDR) Exemptee Training Course
• The Exemptee Institute

Supply chain group sets out model for DSCSA governance - SecuringIndustry.com

• California Designated Representative Training Courses (for wholesalers, or 3PLs) - Approved by the California State Board of Pharmacy
• Buy California Designated Representative training now:
     Wholesaler Course | 3PL Course

Read the full article:  Supply chain group sets out model for DSCSA governance - SecuringIndustry.com

"A consortium of pharmaceutical supply chain partners in the US has come up with a proposed system of governance for data generated in a traceability scheme due to come into effect in 2023." 

"Now, the Pharmaceutical Distribution Security Alliance (PDSA) – a group which includes manufacturers, distributors, dispensers and third-party logistics (3PL) companies – has kicked off the development of its own suggested governance framework that it hopes could serve as a model for discussions going forward."

Return Home:  The Designated Representative and Exemptee Blog

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California Designated Representative Training Courses (for wholesalers, or 3PLs) - Approved by the California State Board of Pharmacy

For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):

• CA Designated Representative Wholesaler Training - Available around-the-clock 24 x 7
• CA Designated Representative 3PL Training
• CA Designated Representative Reverse Distributor Training 
• The Designated Representative Institute

     Florida:

• Florida Certified Designated Representative - CDR Laws and Rules Examination Prep Course

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

• CA Home Medical Device Retailer (HMDR) Exemptee Training Course
• The Exemptee Institute