Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30.6
Quarterly Reports
30.6 - Quarterly Reports
(Rev. 1502; Issued: 05-09-08; Effective/Implementation Date: 06-09-08)
The contract supplier must submit quarterly reports to the CBIC using Form CMS-10169C, “The
Medicare DMEPOS Competitive Bidding Program Contract Supplier Quarterly Report” (OMB
No. 0938-1016), which can be accessed at the CBIC Web site at:
http://www.dmecompetitivebid.com.
The contract supplier must submit to the CBIC a quarterly report no later than ten (10) calendar
days after each of the following dates: March 31, June 30, September 30, and December 31. If
the due date for a particular quarterly report falls on a Saturday, Sunday, or Federal holiday, the
report is due on the next business day. As provided in Form CMS-10169C, each quarterly report
must disclose the following regarding each item specified by CMS that was furnished under its
contract during the calendar quarter immediately preceding the report’s due date: the item’s
HCPCS code; the approximate number of items furnished; the manufacturer of the item; the
item’s model name; and the item’s model number. The contract supplier must submit each
quarterly report to the CBIC’s regular or certified mailing address identified in its contract.
When the contract supplier submits the required quarterly reports, it should also review the
Medicare Supplier Directory, found at http://www.medicare.gov (in the section entitled “Find
Suppliers of Medical Equipment in Your Area”) to determine whether the supplier’s information
is current, including the lists that indicate which manufacturers’ products that the contract
supplier makes available to beneficiaries. If the information is not current, the contract supplier
should submit current information to the CBIC’s regular or certified mailing address identified in
its contract within ten (10) business days of the close of each quarter.