The National Supplier Clearinghouse (NSC) is required to revalidate DMEPOS suppliers every three years. When it is time for a supplier to revalidate, the NSC will send a letter with steps to follow and a bill for the $560 fee.
Step #1: Complete the CMS 855S application form
The updates to the form include the following in Section 3D under “Products and Services Furnished by this Supplier”:
- Differentiated between new and used support surface by putting them into separate categories.
- Deleted hemodialysis equipment and/or supplies because it’s solely a Part A benefit.
- Put external infusion pumps and/or supplies and insulin infusion pumps and/or supplies into two separate product categories so the supplies are independent of the pump.
- Replaced the category titled “Invasive Mechanical Ventilation Devices” with “Ventilators All Types – Not CPAP or RAD.”
- “Repairs” was added to the categories for standard manual related accessories and standard power wheelchair related accessories.
Note: There is no need to complete the 855S form unless you are revalidating, adding a service, removing a service, changing locations, etc.
Step #2: Unannounced site inspection
Another step toward revalidation is an unannounced site inspection that is conducted by a contracted company. The site inspector needs to show photo identification and have a copy of the letter from the NSC. The site inspector will take pictures and has a checklist of questions based on the 30 Medicare supplier standards.
The site inspector may request any of the information below:
- Licensure – Any federal, state and/or and local licensure required to operate your business (supplier standard 1)
- Insurance – Certificate of general liability insurance showing NSC as the certificate holder with the NSC’s address of PO Box 100142, Columbia, SC 29202 (supplier standard 10)
- Inventory – Credit agreements or invoices (supplier standard 4)
- Complaints – Complaint resolution protocol and complaint log/form (supplier standards 19 and 20)
- Warranty coverage notification (supplier standard 6)
- Rent/purchase option notification (supplier standard 5)
- Ownership/Management – Listing of all owners/management to include names and titles (supplier standard 17)
- Surety bond agreement (supplier standard 26)
- Accreditation information (supplier standard 22)
- Instructions – Documentation for written instruction/information on beneficiary use/maintenance of supply (supplier standard 12)
- Oxygen Licensure – A supplier must obtain oxygen from a state-licensed oxygen provider. The supplier must be able to submit a copy of that provider’s state oxygen license if requested. (supplier standard 27)
- Signage – Business sign with company name and hours of operation are required to be posted. (supplier standard 7)
- Accessibility to Physical Site – Physical location must meet all federal accessibility guidelines. (supplier standards 1 and 7)
If you have any questions about this information, please contact us at the following:
Ronda Buhrmester, 888-665-6515, email@example.com
Dan Fedor, 844-794-8459, firstname.lastname@example.org