R.J. Hedges Podcast

Medicare Applications by the Numbers Pharmacy Compliance Guide


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A lot of people ask me about Medicare. There is a lot of confusion about who needs what number.

Immunizations

  • Really easy process to get a number. The pharmacy would complete the 855 B application.
  • Applications have a fast turnaround-usually a month
  • YOU DO NOT NEED to be ACCREDITED
  • Medicare Number –This division (NSC) takes about 3 months to issue a number. This application requires you to carry a surety bond and have a certificate of liability with NSC as the certificate holder as well as your AO (if you have one).

    New applications, as well as re-validations, will require owners and authorized officials to be fingerprinted.

    Two ways to complete

    • For non-accredited drugs only
    • o   Benefits

      • For DMEPOS accredited items
      • o   Benefits

        o   Accreditation

        o   Exemption

        o   Revalidation

        Revalidation happens every 3 – 5 years

        What that means

        You  “update” your Medicare application and pay Medicare $$. Every year they change the Medicare application fee. For 2018 it is $569 per application.

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        R.J. Hedges PodcastBy RJ Hedges