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Medicare Applications by the Numbers: Pharmacy Compliance Guide

The NEW Segment part of the ‘Pharmacy Compliance Guide’ is hosted by Jenny Schell, CDME Sr. Compliance Strategist with R. […]

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May 14, 2018 Community Pharmacy

The NEW Segment part of the ‘Pharmacy Compliance Guide’ is hosted by Jenny Schell, CDME Sr. Compliance Strategist with R. J. Hedges & Associates.

Podcast on Medicare by the Numbers

A lot of people ask me about Medicare. There is a lot of confusion on 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 ACCREDIATED

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.

Contact Jenny: Website:  www.rjhedges.com