What is HME Accreditation?
HME Accreditation, like other types of accreditation, is a voluntary review
and certification of a level of standard within an organization that meets
the predetermined standards of that company, the government and the industry
it represents.
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How do I get accredited?
There are currently 10 accrediting agencies that have been approved by CMS.
Please visit the "Accreditation Agencies" page on this website that lists all 10 CMS approved accreditation agencies.
Each organization will share with you their standards and accreditation
process.
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How much does it cost?
The cost for accreditation is most often based on the size of the organization.
If an organization has more than one branch, there are additional charges for
each office. Most agencies charge a minimum fee and then review each organization
and their structure.
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How long does it take?
Generally speaking, the process of preparation for Accreditation takes from
3 to 6 months. An organization must implement their policies and procedures
and then compile data from their performance management program and patient
records.
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How will it change my company?
Most business owners who have completed the accreditation process are pleased
with the positive changes in their organization and can point to many areas
of efficiency with cost savings.
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What happens if I choose not to get accredited?
The Medicare Modernization Act of 2003 included language that requires HME
organizations to be accredited. HME companies in the first 10 MSAs will be required to be accredited by year end 2007. HME
companies in the other MSAs will be required to achieve accreditation in a
scheduled MSA rollout that will span from 2008 to 2010. The scheduled MSA rollout
for accreditation is yet to be announced by CMS.
It is also important to understand that currently there are a number of payers who already require accreditation in order to
participate with them.
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Why is accreditation important?
HME Accreditation is a method to establish with others that your business has
adopted the highest standards and are in compliance with all regulatory bodies
in the industry.
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How will it improve my business?
Having policies and procedures to follow, a structure for your business and
an understanding that it will be reviewed every 3 years, helps and encourages
business owners to maintain high standards in all areas of their business.
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Why do referral sources care about accreditation?
A referral source wants the assurance that the company they recommend to their
clients is reputable and of high quality. Accreditation is a standard that is
universally known and will help to build trust in an organization's quality.
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Why do payers care about accreditation?
Payers want to be assured that the companies they do business with are reputable
and provide the best services and equipment possible. Requiring accreditation
is an excellent tool to use in measuring a company's quality.
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How will it help my patients?
Patients are probably the biggest benefactors of accreditation as they receive
standardized, measurable care that is of a high quality.
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Why does the government care about accreditation?
In recent years, the government has been plagued by fraud in the HME industry.
Accreditation is just one of the methods that the government can use to monitor the integrity of HME organizations.
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How often do I have to be surveyed?
After your initial survey process, most agencies re-certify every 3 years. However, be aware that
accrediting organizations do unannounced surveys in the interim.
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Who will survey me?
Most accrediting agencies use qualified clinicians in your areas of expertise
to perform the surveys. The surveyors are trained and able to offer training as
well as surveying.
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Which aspects of my business will be surveyed?
The standards for Accreditation of an HME business include every area of the
business. There are standards that are applied to each area according to the
policies and procedures you have in place for your business.
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