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Contract Suppliers

Can a supplier choose to grandfather certain beneficiaries and not others?


05/16/2013
Can a supplier of oxygen and oxygen equipment choose to grandfather stationary oxygen and oxygen equipment and not portable oxygen equipment?


05/16/2013
Does a beneficiary currently receiving oxygen and oxygen equipment prior to the 36-month rental cap or renting a capped rental item (e.g., CPAP device) from a grandfathered supplier who has been inpatient for over 60 days plus the days remaining in the last paid rental month and still needs the oxygen or capped rental item upon returning home have to switch to a contract supplier?


05/16/2013
Following the 5-year or 60-month reasonable useful lifetime for oxygen equipment, the beneficiary can elect to obtain replacement oxygen equipment, which triggers the start of a new 36-month rental payment period. Following the 60th month, will a non-contract supplier be permitted to provide the replacement oxygen equipment, or will the beneficiary need to obtain it from a contract supplier for oxygen and oxygen equipment for the competitive bidding area (CBA)?


05/16/2013
If a beneficiary who is receiving capped rental durable medical equipment (DME) or oxygen prior to the start of the competitive bidding program moves from a non-competitive bidding area to a competitive bidding area (CBA), is a contract supplier eligible to start a new capped rental period or entitled to receive additional payments for oxygen?


05/16/2013
If a non-contract supplier chooses to become a grandfathered supplier for oxygen and oxygen equipment, will that supplier be permitted to bill for oxygen contents furnished after the 36-month rental cap period or will the patient have to obtain oxygen contents from a contract supplier?


05/16/2013
What will contract suppliers be paid when they furnish oxygen and oxygen equipment or capped rental durable medical equipment (DME) to a beneficiary who transitions to them from a non-contract supplier in the middle of the 36-month or 13-month rental payment period?


05/16/2013
Will a beneficiary who is currently receiving oxygen and oxygen equipment prior to the 36-month rental cap or renting a capped rental item (e.g., CPAP device) from a grandfathered supplier have to obtain his or her equipment from a contract supplier if there is a break in need of greater than 60 days plus the days remaining in the last paid rental month?


05/16/2013
When is a contract supplier responsible for repairing equipment?


03/21/2011


last updated on 01/14/2014

 


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