To become a Medicare accredited provider, you must first apply and then pass an inspection. The Medicare application is approximately 27 pages long, and even a single error can result in immediate rejection. If this occurs, you'll need to reapply, which places your application at the end of the often lengthy queue and delays your progress. There's no guarantee that the mistake identified in the first application is the only one, so multiple rejections are possible. The inspection follows next, covering 140 points of compliance required for accreditation. Even minor oversights, such as not displaying your license clearly enough, can lead to rejection. Engaging Allstate DME Solutions can streamline this process. We ensure that your application is correct the first time around and assist you in meeting the compliance requirements for the inspection. What could take months to accomplish independently can be completed much more quickly with our help.

Becoming a Medicare accredited provider can indeed be a lengthy and arduous process, but with us, it's a no-brainer. Two distinct entities will conduct separate inspections of your office and your files, each covering the 140 points of compliance per Medicare guidelines. You'll be responsible for filling out a 27-page application. A single mistake can lead to immediate rejection, requiring you to start the reapplication process from scratch, with little indication of what went wrong, further delaying your progress. That's why engaging DME Agency is your best course of action. Your application will be right the first time, and we'll also work with you to ensure you pass every inspection on the first try. What could take you many months to accomplish independently can be wrapped up much more quickly with our assistance. To become a Medicare accredited provider, you have to first apply for an inspection .The Medicare application is around 27 pages long, and even a single mistake will cause immediate rejection with no discussion. If this happens to you, then you will have to reapply, putting your application at the back of the often quite lengthy queue, and delaying your progress. This can go on indefinitely – there is no guarantee that the error picked up on the first application is the only error, so you could feasibly be rejected multiple times. The inspection comes next –{ this is similarly rigorous, with there being cases that have been rejected for something as simple as not displaying your license clearly enough.} The inspection comes next covering 140 points of compliance that must be put in place in order to achieve Accreditation The medicare application is 27 pages long. The inspection covers 140 points of compliance This is why engaging Allstate DME Solutions is the best course of action. Your application will be right the first time, and we will also work with you to ensure that you pass inspection. What could take you a great many months to do independently, can be wrapped up much more quickly with our help.

Until recently, a supplier of durable medical equipment needed to win a bid to be reimbursed through Medicare. However, since December 2018, the process has changed. Now, suppliers can apply for the right to be reimbursed. Upon successful application, inspection, and accreditation, a Provider Transaction Access Number (PTAN) is issued to the supplier. This number is used to bill for any DME products. Without it, reimbursement is not possible.

No, the two areas are separate. You can only bill for products if you are accredited and have a PTAN. While the accreditation process may be more streamlined for Medicare-enrolled physicians or medical professionals, it is still necessary to ensure that it is completed.

DME, or Durable Medical Equipment, refers to reusable medical equipment such as wheelchairs and oxygen tanks. These are essential for individuals with medical conditions or disabilities for daily living and healthcare needs.

Starting a DME business involves conducting market research, creating a business plan, securing the necessary licenses, establishing relationships with suppliers, and adhering to accreditation requirements.

Accreditation requirements for a DME business typically involve compliance with industry standards, quality assurance, and adherence to state and federal regulations such as those from Medicare.

The accreditation process duration varies, but it generally takes several months. Factors like preparation, documentation, and the accrediting organization's review process contribute to the timeline.

Common challenges include reimbursement issues, changing regulations, and competition. Overcoming them involves efficient billing practices, staying informed on industry changes, and providing excellent customer service.

The DME Consultant offers expertise in navigating accreditation processes, ensuring compliance, and providing strategic guidance for business growth in the DME industry.

Our training encompasses accreditation preparation, regulatory compliance, business operations, and staff education to equip DME businesses with the necessary knowledge and skills.

DME providers must comply with state and federal laws, including Medicare regulations. Legal considerations involve licensing, reimbursement policies, and adherence to healthcare privacy laws.

Turnaround times vary by insurance plan. Most major commercial carriers can complete the credentialing and contracting process in 90 – 120 days. Less efficient carriers often take longer than 120 days. Most Medicare contractors are completing provider applications in 60 – 90 days. While we can’t control how long an insurance company takes to process your application, we follow up on all your applications on a regular basis to ensure the process is progressing.

You have real-time access to our cloud based software platform to monitor the progress of all your credentialing applications. You can also run reports, retrieve documents, update your information, and maintain your CME history using our software platform.

You have real-time access to our cloud based software platform to monitor the progress of all your credentialing applications. You can also run reports, retrieve documents, update your information, and maintain your CME history using our software platform.

We work with physicians and other healthcare providers in all medical specialties and most behavior health specialties ranging in size from solo practitioner clinics to large health system owned medical groups.

Hospital privileges and hospital credentialing sound similar, but they are indeed two different processes. Hospital credentialing must happen before you apply for hospital privileges. During this credentialing process, the medical facility will focus on ensuring that you are able to provide competent and safe patient care. To do so, hospital bylaws will be consulted and you will be required to provide proof of your education and medical training. If you are credentialed, you will be able to request hospital privileges. If you are found unworthy of being credentialed, you will not be allowed to practice at that facility. DME Agency can help with both privileging and credentialing.

Primary Source Verification refers to verifying a health care provider (Typically MDs, DOs, NPs, PAs etc.) credentials such as education, training, certification, licensure etc. with the Primary source to determine the accuracy and authenticity. Primary source verification generally includes a combination of online verification with the direct source, telephone confirmation and other direct correspondence.

Credentialing typically refers to insurance credentialing / medical credentialing i.e getting on insurance panels with insurance companies so that you can bill as in-network. Primary Source Verification (Sometimes referred as Primary Source credentialing) is verification of provider credentials directly with primary source.