Federal Compliance Notice
Medicare DMEPOS Supplier Standards
Beneficiary Disclosure Notice (Standard 16):
The products and/or services provided to you by J&J Medical Supply, LLC are subject to the supplier standards contained in the Federal regulations shown at 42 CFR § 424.57(c). These standards concern business, professional, and operational matters (e.g., honoring warranties and hours of operation). Upon request, we will furnish you a written copy of these standards.
The products and/or services provided to you by J&J Medical Supply, LLC are subject to the supplier standards contained in the Federal regulations shown at 42 CFR § 424.57(c). These standards concern business, professional, and operational matters (e.g., honoring warranties and hours of operation). Upon request, we will furnish you a written copy of these standards.
- A supplier must be in compliance with all applicable Federal and State licensure and regulatory requirements.
- A supplier must provide complete and accurate information on the DMEPOS supplier application. Any changes to this information must be reported to the National Provider Enrollment contractor within 30 days.
- A supplier must have an authorized individual (whose signature is binding) sign the enrollment application for billing privileges.
- A supplier must fill orders from its own inventory, or contract with other companies for the purchase of items necessary to fill orders. A supplier may not contract with any entity that is currently excluded from the Medicare program, any State health care programs, or any other Federal procurement or non-procurement programs.
- A supplier must advise beneficiaries that they may rent or purchase inexpensive or routinely purchased durable medical equipment, and of the purchase option for capped rental equipment.
- A supplier must notify beneficiaries of warranty coverage and honor all warranties under applicable State law, and repair or replace free of charge Medicare covered items that are under warranty.
- A supplier must maintain a physical facility on an appropriate site and must maintain a visible sign with posted hours of operation. The location must be accessible to the public and staffed during posted hours of business. The location must be at least 200 square feet and contain space for storing records.
- A supplier must permit CMS or its agents to conduct on-site inspections to ascertain the supplier's compliance with these standards.
- A supplier must maintain a primary business telephone listed under the name of the business in a local directory or a toll-free number available through directory assistance. The exclusive use of a beeper, answering machine, answering service, or cell phone during posted business hours is prohibited.
- A supplier must have comprehensive liability insurance in the amount of at least $300,000 that covers both the supplier's place of business and all customers and employees of the supplier.
- A supplier must agree not to initiate telephone contact with beneficiaries, with four specific exceptions allowed by statute under 42 CFR § 424.57(c)(11).
- A supplier must agree to accept returns of substandard or unsuitable items (less any appropriate restocking fee) from Medicare beneficiaries.
- A supplier must disclose these supplier standards to each beneficiary to whom it furnishes a Medicare-covered item.
- A supplier must maintain a complaint resolution protocol and document complaints in writing, maintaining records of customer contact for at least 3 years.
- A supplier must provide complete written instructions on how to use the equipment safely, along with manufacturer operating manuals.
- A supplier must maintain documentation that demonstrates that it has provided beneficiaries with necessary information regarding warranty coverage and maintenance instructions.
- A supplier must answer beneficiaries' questions about Medicare-covered items that were furnished by the supplier.
- A supplier must maintain a protocol to address equipment recalls and replace recalled equipment according to manufacturer guidelines.
- A supplier must accept responsibility for delivery and setup of equipment if furnished to beneficiaries directly, ensuring staff are appropriately trained.
- A supplier must maintain all documentation supporting medical necessity and doctor's orders for at least 7 years.
- A supplier must be enrolled in Medicare before billing for any covered item.
- A supplier must obtain accreditation from a CMS-approved independent accreditation organization demonstrating compliance with all CMS Quality Standards.
- A supplier must have a valid Tax Identification Number (TIN) or Employer Identification Number (EIN).
- A supplier must furnish items from the licensed location designated on the supplier application.
- A supplier must disclose information regarding any prospective sales or changes of ownership to CMS within required reporting windows.
- A supplier must not share a practice location with another Medicare supplier unless exempt.
- A supplier must remain open to the public for a minimum of 30 hours per week (except for specialized exempt professions).
- A supplier must obtain a surety bond in the amount of $50,000 for each assigned National Provider Identifier (NPI).
- A supplier must not contract with any excluded individual or entity to provide services or equipment.
- A supplier must maintain compliant records of all beneficiary communication and transactions at its physical facility.
Questions, Service Issues, or Warranty Inquiries
If you have questions regarding these standards or wish to report an equipment defect, warranty claim, or service issue, please contact our Compliance Officer directly:
J&J Medical Supply, LLC
12440 Firestone Blvd, Suite 1025, Norwalk, CA 90650
Phone: (562) 406-1028 | Fax: (562) 278-0234
Hours: Monday–Friday 9:00 AM – 3:00 PM PST