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

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."

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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

OIG report catches $34m in CMS overpayments to med device suppliers over 3 years - MassDevice

• California HMDR Exemptee Training Certification Course for Home Medical Device Retailers (accepted by the California Department of Public Health - Food and Drug Branch)

Read the full article:  OIG report catches $34m in CMS overpayments to med device suppliers over 3 years - MassDevice

"The U.S. Dept. of Health and Human Services’ Office of the Inspector General recently published a report claiming that the Centers for Medicare and Medicaid Services overpaid medical device suppliers by $34 million"

Read the OIG report:
Medicare Improperly Paid Suppliers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provided to Beneficiaries During Inpatient Stays (PDF)

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California HMDR Exemptee Training Certification Course for Home Medical Device Retailers (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 - 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

CMS Publishes FAQ For DME Prior Authorization Process

Visit the CMS webpage: Prior Authorization Process for Certain Durable Medical Equipment, Prosthetic, Orthotics, Supplies (DMEPOS) Items - Centers for Medicare & Medicaid Services:

"CMS Finalizes Rule Creating Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items (CMS 6050-F)

Update: 12/30/15

OVERVIEW
The Centers for Medicare & Medicaid Services (CMS) today issued a final rule that would establish a prior authorization process for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items that are frequently subject to unnecessary utilization. This prior authorization process will help ensure that certain DMEPOS items are provided consistent with Medicare coverage, coding, and payment rules.  CMS believes the final rule will prevent unnecessary utilization while safeguarding beneficiaries’ access to medically necessary care."

'via Blog this'

You'll be interested in their FAQs and other pertinent documents:

Downloads

• 6050 FINAL RULE FAQs [PDF, 62KB]
• 6050-FINAL RULE-12-30-15 [PDF, 523KB]
• 6050 FINAL RULE Fact Sheet [PDF, 31KB]
• FINAL RULE MASTER LIST of DMEPOS Subject to Frequent Unnecessary Utilization [PDF, 68KB]
• 6050 PROPOSED RULE 05-28-15 [PDF, 324KB]

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CA HMDR Exemptee online internet-based training certification by SkillsPlus Intl Inc.
The Exemptee Institute

NEW! CA Designated Representative-3PL online training certification by SkillsPlus Intl Inc.- We'll send you the 3PL training affidavit upon successful course completion.
CA Designated Representative online web-based training certification by SkillsPlus Intl Inc. - Available around-the-clock 24 x 7
FL Certified Designated Representative (CDR) online exam prep course - Lots of practice exams - Practice makes perfect!
The Designated Representative Institute

CMS Proposes Capped Rental Rule for DME -- HME Business

• California Exemptee Certification California Exemptee Certification online training program/class. State-approved by the CDPH. Respected. Reliable - Dependable - High uptime availability! The longest continuously offered online Exemptee training certification class. For home medical device retail (HMDR) Exemptee license applicants, business owners, chief executive officers, general managers and compliance officers. DME HME Exemptee Certification.
  

CMS Proposes Capped Rental Rule for DME -- HME Business:

"The Centers for Medicare and Medicaid funding have proposed a rule to rent “routinely purchased” DME items falling under the three-year minimum lifetime requirement and that have allowables of more than $150.

Under the proposed rule, Medicare would only purchase an item outright if its statistics show that the agency purchased the item 75 percent or more of the time during the period of July 1986 through June 1987. If not, those items would be reimbursed on a 13-month capped rental basis."

Follow this link to the proposed rule: Medicare Program: End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies

Return Home:  The Designated Representative and Exemptee Blog

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

Round 2 Contract Suppliers Listed

• California HMDR Exemptee Training Certification Course - for home medical device retailers.

CMS Announces Round Two Contractors -- HME Business:

"Finding Contract Holders

To find Round Two contract holder, the Competitive Bidding Implementation Contractor, Palmetto GBA, has released a PDF listing all the contract holders at [. . .]

Also, CMS’s online searchable supplier directory is already showing which providers are holding competitive bidding contracts. To find the contract-holders for specific categories in specific areas, visit [. . .]  and enter the zip code in question; select up to five product categories; and then scroll down and click the green “search” button."

Resources:
Medicare.gov - Supplier Directory - Find a Supplier by Zip Code

Return Home:  The Designated Representative and Exemptee Blog

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California HMDR Exemptee Training Certification Course - 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

DMEPOS State License Directory - California HMDR Exemptee License

• Register now to take California Exemptee Training Certification
• California HMDR Exemptee Training Certification Course (accepted by the California Department of Public Health - Food & Drug Branch)

DMEPOS State License Directory For CA 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 CA HMDR Exemptee mentions.

DMEPOS State License Directory - California:

"MUST HAVE a 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'

Return Home:  The Designated Representative and Exemptee Blog

California HMDR Exemptee Training Certification Course - 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