This Just IN:
Just received an email from CMS with a reminder that all providers of Durable Medical Equipment need to be accredited by September 30, 2009. This requirement touches many parts of your DME business. It is vital to your billing privilages that you pass accreditation standards set forth in the Quality Standards for DMEPOS Providers. Every aspect of your business centers around one word: Compliance.
While the long used 21 Medicare Supplier Standards state that a provider has a Complaint Resolution Protocol established, the New Quality Standards go a step further a dictate timelines for communicating and resolve complaints from your beneficiary.
Medicare Supplier Standard #19
A supplier must have a complaint resolution protocol established to address beneficiary complaints that relate to these standards. A record of these complaints must be maintained at the physical facility.
Medicare Supplier Standard #20
Complaint records must include: the name, address, telephone number and health insurance claim number of the beneficiary, a summary of the complaint, and any actions taken to resolve it.
Quality Standard – Consumer Services #3
Within five (5) calendar days of receiving a beneficiary’s complaint, the supplier shall notify the beneficiary, using either oral, telephone, e-mail, fax, or letter format, that it has received the complaint and that it is investigating. Within 14 calendar days, the supplier shall provide written notification to the beneficiary of the results of its investigation and response. The supplier shall maintain documentation of all complaints that it receives, copies of the investigations, and responses to beneficiaries.
Denying or neglecting these standards CAN and WILL stand in the way of your successful accreditation. But…..How and where do you fit this into your already busy schedule? How much would it cost to employ someone to handle this for you? How much do you lose in productivity when your current staff is interrupted by an unhappy customer? I’m sure you have asked yourself all of these questions. How do I cut costs and maintain quality customer service? The answer? Outsourcing!
Outsource the tasks that don’t fit into your daily routine, or when lack of staff and/or training cripple your productivity. Did you know that the average cost of turnover and training for one employee can be from $5,000 - $10,000? How many employees do you go through in a year or two or three trying to find one that is dependable, compentant, motivated, etc.? Bottom line……think about outsourcing.
And now, here’s the plug:
DME-Solutions has succeeded with streamlining a Complaint Resolution Protocol with our Toll-Free Complaint Resolution Hotline. Click here to read more about this invaluable service for DME Providers.
Until next time…..