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Medicare Form | Privacy Statement
Medicare Supplier Standards
Advantage Home Medical Equipment must be in compliance with all applicable Federal and State licensure and regulatory requirements.
Advantage Home Medical Equipment must provide complete and accurate information on the DMEPOS supplier application. Any changes to this information must be reported to the National Supplier Clearinghouse within 30 days.
An authorized individual (one whose signature is binding) must sign the application for billing privileges.
Advantage Home Medical Equipment must fill orders from its own inventory, or must contract with other companies for the purchase of items necessary to fill the order. Advantage Home Medical Equipment 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 non procurement programs.
Advantage Home Medical Equipment must advise beneficiaries that they may rent or purchase inexpensive or routinely purchased durable medical equipment, and of the purchase option for capped rental equipment.
Advantage Home Medical Equipment must 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.
Advantage Home Medical Equipment must maintain a physical facility on an appropriate site.
Advantage Home Medical Equipment must permit HCFA, or its agents, to conduct on-site inspections to ascertain Advantage Home Medical Equipment’s compliance with these standards. Advantage Home Medical Equipment location must be accessible to beneficiaries during reasonable business hours, and must maintain a visible sign and posted hours of operation.
Advantage Home Medical Equipment must 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.
Advantage Home Medical Equipment must have comprehensive liability insurance in the amount of at least $300,000 that covers both Advantage Home Medical Equipment’s place of business and all customers and employees of Advantage Home Medical Equipment. If Advantage Home Medical Equipment manufactures its own items, this insurance must also cover product liability and completed operations.
Advantage Home Medical Equipment must 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.
Advantage Home Medical Equipment is responsible for delivery and must instruct beneficiaries on use of Medicare covered items, and maintain proof of delivery.
Advantage Home Medical Equipment must answer questions and respond to complaints of beneficiaries, and maintain documentation of such contacts.
Advantage Home Medical Equipment must 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.
Advantage Home Medical Equipment must 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.
Advantage Home Medical Equipment must disclose these supplier standards to each beneficiary to whom it supplies a Medicare-covered item.
Advantage Home Medical Equipment must disclose to the government any person having ownership, financial, or control interest in Advantage Home Medical Equipment.
Advantage Home Medical Equipment must not convey or reassign Advantage Home Medical Equipment number, i.e., Advantage Home Medical Equipment may not sell or allow another entity to use its Medicare billing number.
Advantage Home Medical Equipment must have a complaint resolution protocol established to address beneficiary complaints that relate to these standards. A record of these 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.
Advantage Home Medical Equipment must agree to furnish HCFA any information required by the Medicare statute and implementing regulations.