DMEPOS RR Provision for Claims for Medical Equipment

50.15.2 - DMEPOS RR Provision for Claims for Medical Equipment and Supplies (Rev. 10862; Issued: 07-14-21; Effective: 10-14-21; Implementation: 10-14-21) All suppliers who sell or rent medical equipment and supplies to Medicare beneficiaries are subject to the refund provisions of §§1834(a)(18), 1834(j)(4) and 1879(h) of the Act, whether accepting assignment or not. Medical equipment and supplies are defined in the following statutes applicable to this section: • Durable medical equipment, as defined in §1861(n) of the Act; • Prosthetic devices, as described in §1861(s)(8) of the Act; • Orthotics and prosthetics, as described in §1861(s)(9) of the Act; • Surgical dressings, as described in §1861(s)(5) of the Act; • Home dialysis supplies and equipment, as described in §1861(s)(2)(F) of the Act; • Immunosuppressive drugs, as described in §1861(s)(2)(J) of the Act; • Therapeutic shoes for diabetics, as described in §1861(s)(12) of the Act; • Oral drugs prescribed for use as an anticancer therapeutic agent, as described in §1861(s)(2)(Q) of the Act; • Self-administered erythropoietin, as described in §1861(s)(2)(P) of the Act; and • Other items as determined by the Secretary. If a proper ABN is not issued prior to the receipt of one of the preceding items and the above provisions apply, the beneficiary has no financial responsibility. The refund provisions of the Act apply to both assigned and unassigned claims.