Aloha Foot Centers

Kailua Kaneohe Foot & Ankle Specialists

Robert LaReaux, DPM
Sandra Au, DPM
Ken Tsubata, DPM

Medicare Supplier Standards

Supplier Standards

As a supplier of diabetic shoes, inserts and other durable medical equipment covered by Medicare benefits, Aloha Foot Centers agrees to compliance with all applicable Federal and State licensure and regulatory requirements as follows.  A supplier must:

Provide complete and accurate information on the DMEPOS supplier application.

Report any changes to this information to the National Supplier Clearinghouse within 30 days.

Sign the application for billing privileges.

Fill orders from its own inventory, or must contract with other companies for the purchase of items necessary to fill the order. A supplier may not contract with any entity that is currently excluded from the Medicare program, any State health care programs, or from any other Federal procurement or nonprocurement programs.

Advise beneficiaries that they may rent or purchase inexpensive or routinely purchased durable medical equipment, and of the purchase option for capped rental equipment.

Notify beneficiaries of warranty coverage and honor all warranties under applicable State law, and repair or replace free of charge Medicare-covered items that are under warranty.

Maintain a physical facility on an appropriate site.

Permit CMS or its agents to conduct on-site inspections to ascertain the supplier's compliance with these standards. The supplier location must be accessible to beneficiaries during reasonable business hours, and must maintain a visible sign and posted hours of operation.

Maintain a primary business telephone listed under the name of the business in a local directory or a toll free number available through directory assistance. The exclusive use of a beeper, answering machine, or cell phone is prohibited.

Have comprehensive liability insurance in the amount of at least $300,000 that covers both the supplier's place of business and all customers and employees of the supplier. If the supplier manufactures its own items, this insurance must also cover product liability and completed operations. Failure to maintain required insurance at all times will result in revocation of the supplier's billing privileges retroactive to the date the insurance lapsed.

Agree not to initiate telephone contact with beneficiaries, with a few exceptions allowed. This standard prohibits suppliers from calling beneficiaries in order to solicit new business.

Responsible for delivery and must instruct beneficiaries on use of Medicare-covered items, and maintain proof of delivery.

Answer questions and respond to complaints of beneficiaries, and maintain documentation of such contacts.

Maintain and replace at no charge or repair directly, or through a service contract with another company, Medicare-covered items it has rented to beneficiaries.

Accept returns of substandard (less than full quality for the particular item) or unsuitable items (inappropriate for the beneficiary at the time it was fitted and rented or sold) from beneficiaries.

Disclose these supplier standards to each beneficiary to whom it supplies a Medicare-covered item.

Disclose to the government any person having ownership, financial, or control interest in the supplier.

Must not convey or reassign a supplier number; i.e. the supplier may not sell or allow another entity to use its Medicare Supplier Billing Number.

Must have a complaint resolution protocol established to address beneficiary complaints that relate to these standards. A record of complaints must be maintained at the physical facility.

Complaint records must include: the name, address, telephone number and health insurance claim number of the beneficiary, a summary of the complaint, and any actions taken to resolve it.

Agree to furnish CMS any information required by the Medicare statute and implementing regulations.

Accredited by a CMS-approved accreditation organization in order to receive and retain a supplier billing number. The accreditation must indicate the specific products and services, for which the supplier is accredited in order for the supplier to receive payment of those specific products and services (except for certain exempt pharmaceuticals).

Notify their accreditation organization when a new DMEPOS location is opened.

All supplier locations, whether owned or subcontracted, must meet the DMEPOS quality standards and be separately accredited in order to bill Medicare.

Disclose upon enrollment all products and services, including the addition of new product lines for which they are seeking accreditation

Meet the surety bond requirements specified in 42 C.F.R. 424.57(c). Implementation date- May 4, 2009.  diabetic shoes, inserts, Medicare, standards, medical supplier, durable equipment, diabetic shoes, inserts, Medicare, standards, medical supplier, durable equipment, diabetic shoes, inserts, Medicare, standards, medical supplier, durable equipment, diabetic shoes, inserts, Medicare, standards, medical supplier, durable equipment, diabetic shoes, inserts, Medicare, standards, medical supplier, durable equipment, diabetic shoes, inserts, Medicare, standards, medical supplier, durable equipment