Welcome DMEPOS Suppliers
These visits are separate from Accreditation Surveys.
Per 42 CFR §424.57(c)(8), a supplier must permit CMS or its agents to conduct unannounced on-site inspections to ascertain the supplier’s compliance with DME standards.
CMS or its agent may visit a supplier at any time during initial enrollment, reactivation, revalidation, change of information or when otherwise deemed necessary.
CMS or its agent performing the on-site visits will carry a photo ID and a CMS-issued signed authorization letter you may review if you want to verify that CMS ordered a site visit.
Ensure qualified staff are available to answer questions and that they can access files and documentation during the on-site visit.
A refusal of the on-site visit can result in denial, deactivation, or revocation of Medicare billing privileges.
The inspector will have a questionnaire to complete based on the supplier standards. If there are any concerns with regards to the validity of the inspector, please contact the NPWest immediately at 866-238-9652.
Depending on the type of supplier, any of the following documents may be requested:
- Any licensure required to operate the business
- Insurance policy showing compliance with supplier standard 10
- Copies of any contracts the supplier may have for inventory, instruction or repair services
- Complaint log and resolution protocol
- Rent/Purchase option notification
- Proof of warranty coverage
The inspector may also ask to review beneficiary files to determine compliance with certain supplier standards. However, the site inspector should never take, copy, or photograph beneficiary files. Please notify the NPWest immediately if the site inspector requests to take or copy beneficiary files.