COMPLIANCE
This acronym refers to any individually identifiable information, such as a medical record number or birth date.
A PAP patient brings their machine in stating that they are waking up with water in their mask. Where would you find the PAP troubleshooting tool?
What is Southern Pap Adventures Keep it moving tab?
For a DME item to be covered, it must be prescribed by a healthcare professional who is enrolled in this government program.
What is Medicare?
This is the standard rental cycle length for oxygen equipment, after which a beneficiary never officially owns it.
36 MONTHS
If a current patient walks in with a RX for CPAP supplies that says PAP supplies needed. What steps do we take?
We will service the patient's needs and reach out to provider and if you do receive anything back reach out to the sales rep for further assistance
This five-letter acronym represents the list of codes that CMS updated in April 2026 to include new items requiring a Face-to-Face encounter.
When creating a sales order what are the necessary steps?
- Verify demographics including name, dob, address
- Verify insurance and electronically verify
- make sure pt qualifies
- If Par is needed drop in par chat (IF BCBS HOLD FOR PAR) unless Wake Med
- Check is clinical tab is correct
- Process Order
To be covered under an LCD, a beneficiary must meet specific clinical criteria often evidenced by these codes, which identify the patient's condition.
WHAT IS ICD - 10
For most patients, supplemental oxygen is clinically indicated when their pulse oximeter reading (SpO2) falls to or below this percentage.
88%
To try to feel what the customer feels during a difficult conversation.
DMEPOS suppliers must resolve patient complaints within this many calendar days to remain in compliance with Medicare standards.
What is 14 calendar days?
This category of equipment, which includes items like hospital beds and oxygen concentrators, is primarily intended for use in this specific location.
What is the home (or a patient's residence)?
If an item is not covered by an LCD, a DME company should issue this form to the patient to inform them they may be responsible for the cost.
What is an Advance Beneficiary Notice (ABN)?
If a patient reports the flow doesn't feel strong, the DME technician should first check for this common issue in the tubing.
KINKS IN TUBING
This communication approach should be used with angry customers to prevent them from feeling dismissed.
This specific 10-digit identifier for the ordering physician must be present on every Medicare DME claim.
What is an NPI (National Provider Identifier)?
Most Medicare DME is paid for through this "category," where the provider receives a monthly fee for 13 months before ownership transfers to the patient.
What is capped rental?
An LCD is not considered "met" unless the supplier has this, signed and dated by the beneficiary, confirming they received the item.
What is Proof of Delivery (POD)? OR A DELIVERY TICKET
WHAT LENGTH OF TIME DO WE RENT VACATION TOCS FOR? WHAT IS THE MAX LITER FLOW?
2 WEEK RENTALS MAX LITER FLOW 3
The first thing you should do after a difficult customer interaction to ensure an accurate record for the patient's file.
What is documenting the conversation in the medical record?
Effective January 1, 2026, DMEPOS suppliers must be resurveyed and reaccredited this often.
What is at least once every 12 months?
This federal agency’s website is the primary source for Local Coverage Determinations (LCDs) and standard order forms used to prove medical necessity.
What is CMS (or the Centers for Medicare & Medicaid Services)
WHAT IS A QMB? AND HOW IS IT USED
Qualified Medicare Beneficiary
QMB covers all Medicare deductibles, coinsurance, and copayments for services covered under Parts A and B.
This handheld device is used by patients post-operatively to promote lung expansion and prevent atelectasis.
INCENTIVE SPIROMETER
To build trust, a DME provider should be fully transparent about these three things.
What are pricing, policies, and procedures?