The Compliance Team, Inc.

Becoming a Diabetes Hub CMS’ shift to value-based care payment models is mirrored by private-market forces across the USA. This shift has incentivized healthcare providers to prove that they offer the very best patient services in their chosen specialties. Just such a reimbursement opportunity now exists in the area of Diabetes Self-Management Training (DSMT). A disease that impacts millions of Medicare beneficiaries on a daily basis deserves special attention. That focus has led to pharmacy and DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics and Supplies) providers becoming CMS eligible to bill for DSMT. Diabetes Self-Management Training is not a separately recognized provider type. Therefore, providers cannot enroll in Medicare for the sole purpose of providing such training. However, pharmacy and DMEPOS providers who are enrolled with the A/B MAC and meet CMS accreditation standards are eligible for reimbursement. As a nationally recognized healthcare accreditation organization, The Compliance Team (TCT) is authorized by the Secretary of Health and Human Services to use our industry-leading Exemplary Provider® Award validation process to accredit Part—A Rural Health Clinic and Patient-Centered Medical Home as well as all Part—B DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics and Supplies) providers. TCT’s application to become a Medicare-approved DSMT accreditor is complete, and formal CMS approval of expected by March 2020, but we can begin today helping your pharmacy solidify its position as the go to diabetes hub in the community. Oh, and add another revenue stream while you are at it.

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