DME/HME Page

The Durable Medical Equipment or Home Medical Equipment Business Start-Up Guide is the essential primer for anyone who plans on opening a durable equipment business. Step-by-step guidance and helpful forms assist you in quickly obtaining all necessary licenses and accreditations, including receiving Medicaid and Medicare approval specific to your state.

Areas covered include:

• Overview
• DME business licensure requirement
• The licensure application process for DME business type and state
• Medicare and DMEPOS
• MAC Jurisdiction a-b-c-d
• Supplier Manuals
• Fee Schedule
• National Coverage Determinations (NCDS) and Local Coverage Determination (LCD)
• Medicaid
• DME products and services covered under Medicaid
• State DME/HME Application
• CEDI
• PTAM
• FD inspections and requirements for medical gases
• DMEPOS enrollment process
• DMEPOS enrollment versus the accreditation process
• PECOS
• Human resources for DME/HME Companies
• Hiring employees and independent contractors
• Risk management and Quality Management
• DME billing and software review
• DME and Commerical Insurances
• Contracts and marketing strategies for DME
• Contacting with community providers
• Equipment installation and follow-up
• Equipment malfunction and troubleshooting process
• Success-proven marketing strategies
• Referral sources
• Co-marketing with vendors
• Start-up documents
• DME/HME start-up checklist
• Accreditation organizations and the accreditation process
• Much more

The Durable Medical Equipment or Home Medical Equipment Business Start-Up Guide is available in e-book (instant download) format and paperback book.

DME/HME Policies And Procedures Manual

Be inspection ready with the DME/HME Policies and Procedures Manual. This manual has all the sample policies and procedures ready to be customized to navigate the Medicare certification process. The book comes with cross-references that match the applicable accreditation standards.

The manual is compliant with the following accrediting agencies:

• ACHC – Accreditation Commission For Health Care, Inc.
• CHAP – Community Health Accreditation Program
• The Joint Commission
• Medicare Conditions of Participation (CoPs)
• CMS Quality Strategy (CMSQS)
• . and much more.

This manual is available in e-book (instant download) format and Flash Drive for easy editing.

DME/HME policies and procedures manual table of contents:

Section 1 - Ethics, Rights and responsibilities

• Advance directives
• Foregoing or withholding life-sustaining treatment and/or resuscitation
• Authorization to treat/informed consent
• Authorization/agreement for services form
• Authorization to treat form - mechanical ventilator
• Authorization to treat form - apnea monitor
• Authorization to treat form - enteral nutrition equipment
• Client bill of rights policy
• Client bill of rights and responsibilities
• Code of ethics
• Ethics committee
• Confidentiality of client information
• Confidentiality statement form - staff
• Conflict in care
• Conflict of interest
• Experimental treatments
• Client concerns/grievances
• Client perception of care report form
• Client concerns/grievance process flowchart
• Non-english speaking clients - cultural considerations
• Photographing/videotaping clients
• Authorization and consent form - photograph and publication
• Sensory impaired clients
• Identification of person(s) responsible for care, treatment and service delivery
• Clinical decision-making and financial incentives
• Cms medicare dmepos supplier standards
• Cms medicare dmepos estandares para suplidores

Section 2 - Provision of care, treatment and services

• admission/assessment
• Acceptance policy
• Assignment of staff
• Referral process
• Referrals to other organizations/individuals
• Assessment of clients
• Physical assessment - respiratory services
• Order intake form
• Client abuse - adult
• Client abuse - child
• Suspected adult or child abuse report form
• Planning care, treatment and services
• Plan of care
• Plan of treatment
• Plan of treatment form
• Plan of care form
• Plan of care forms:
• Oxygen equipment
• Respiratory equipment
• Apnea monitor equipment
• Ventilator equipment
• Infusion pump equipment
• Providing care, treatment and services
• Client emergency
• Clinical respiratory services
• Death in the home
• Follow-up visits
• Nutritional product storage
• Medical supervision
• Oxygen delivery systems
• Oxygen concentrator training checklist
• Oxygen concentrator maintenance checklist
• Required emergency backup oxygen system for concentrator clients consent form
• Pentamidine aerosol for treatment of pneumocystis carinii pneumonia
• Traction and related traction services
• Physician's prescription
• Physician's telephone orders
• Confirmation of physician's orders form)
• Pneumocardiogram
• Predischarge visits to clients in hospital
• Pulse oximetry
• Specimen collection
• Telephone order taking
• telephone and communication log
• Tracheostomy care
• Education
• Multidisciplinary client education
• Client instruction
• Aerosol therapy
• Aerosol therapy training certification form
• Aspiratory (suction unit)
• Aspirator (suction unit) - installation and assembly instructions
• Cardiopulmonary resuscitation
• Disinfection of respiratory breathing circuits - instructions
• Home equipment - instructions checklist
• Humidifier cleaning instructions
• Postural drainage therapy
• Respiratory client education
• Cpap/bipap client orientation checklist
• Ippb training certification form
• Clients who smoke with oxygen in use
• Minor troubleshooting - oxygen concentrator
• Nasotracheal and tracheostomy suctioning
• Suction training instructions form
• Discharge/transfer
• discharge policy
• discharge summary
• discharge worksheet
• discontinuance of service against medical advice form
• home care services discharge summary form
• transfers to other organizations

section 3 - medication management

• Medication administration and transcription
• Medication profile form "a"
• Medication profile form "b"
• Medication administration record form
• Medication management - clinical respiratory services
• Medication orders for clinical respiratory therapy
• First dose medications
• Drug reactions
• Investigational medications
• Infection control
• Infection control definitions
• Identification and reporting of infectious diseases
• Standard precautions
• Hand hygiene
• Personal protective equipment
• Personnel guidelines for use of personal protective equipment
• Bloodborne pathogens exposure control
• Report of exposure to bloodborne pathogens form
• Bloodborne pathogens - post-exposure evaluation and follow-up
• Hepatitis b vaccination policy
• Employee health - employee illnesses
• Infection control plan
• Infection risk assessment
• Exposure control plan
• Organizational plan and response to a potential or actual infectious pandemic outbreak
• Pandemic risk assessment tool for home care organizations policy
• pandemic infection outbreak planning and preparedness risk assessment tool for home care organizations

section 4 - improving organization performance

• Organizational performance improvement plan
• Durable & home medical equipment - pi monitoring and evaluation plan
• Durable & home medical equipment - pi trending sheet
• Durable & home medical equipment - pi outcome evaluation
• Durable & home medical equipment - pi volume measures/statistics
• Performance improvement reporting form
• Performance improvement committee minutes form
• Corrective action plan form
• Annual company evaluation
• Incident reporting
• Incident report form
• Performance improvement department notification form
• Product incident reporting
• Product incident report form
• Perception of care/satisfaction surveys
• Perception of care/satisfaction survey form
• Sentinel event review
• Root cause analysis flowchart
• Self-evaluation of service
• Home care medical services self-evaluation diagram

section 5 - leadership

• Scope of service
• Services provided - hours of operations
• On-call services
• Geographical service area
• Medical advisor
• Communication of information
• Client safety program
• Organization and structure
• Local management and administration (for companies with multiple locations, satellite offices, etc.)
• Governance - board of directors/management company
• Governance - sole proprietorship
• Annual operating budget and capital expenditure plan
• Professional advisory committee
• Physician license verification
• Staff recruitment, retention and education
• Contracted services
• Role of leadership in performance improvement
• Registration process - sterilizer of bedding and upholstered furniture
• Environmental safety
• Employee safety/security
• Employee job-related injuries
• Electrical safety release form
• Safety hazard surveillance
• Security plan
• Hazardous materials and waste plan
• Hazardous materials emergency response communication
• Identification, handling and disposal of hazardous materials
• Emergency management plan
• Bomb incident plan
• Bomb threat report form
• Detecting suspicious packages/letters
• Natural disaster management plan
• Terrorism response plan
• Hazard vulnerability analysis
• Emergency management - hazard vulnerability analysis worksheet
• Fire safety
• Fire drill report form
• Safe medical devices
• Medical device problem and recall
• Utility systems management plan
• Lockout/tagout procedures
• Lockout/tagout training
• Equipment delivery/receipt
• Entering the client's residence
• Equipment set-up procedure
• After-hours delivery
• Backup equipment
• Delivery procedure
• Delivery invoice
• Receiving equipment
• Sample tags
• Pick-up procedure
• Equipment and bed cleaning guidelines
• Equipment maintenance and repairs
• Non-routine (non-pm) equipment maintenance record
• Preventive maintenance - apnea monitors
• Nebulizer/compressor service / cpap/bipap service form
• Preventive maintenance - feeding pump
• Preventive maintenance - oxygen regulators
• Vendor repair service
• Equipment warranty policy
• Return of purchased or rental equipment
• Delivery route sheet form
• Service call report form
• Vehicles/drivers
• Vehicle policy
• Compliance with dot laws
• Insurance coverage for employee-owned vehicles
• Motor vehicle accidents
• Motor vehicle accident report by driver form
• Point system for vehicle accidents and moving violations
• Company driver - motor vehicle violation report certification
• Company driver - motor vehicle violation report certification form
• Restrictions regarding vehicle use
• Drivers transporting compressed medical gases (cmg)
• Vehicle markings and appearance
• Vehicle files
• Vehicle maintenance/repairs
• Vehicle preventive maintenance schedule log
• Outfitting vehicles containing liquid storage units used for transfilling (stationary, portable or vehicle units)
• Vehicles used to transport high-pressure medical gas
• Operation assessments and hazardous manifest form
• Bill of lading (hazardous manifest) form
• Driver's vehicle use (driving) competency evaluation form
• Sample of your state/county "written examination for drivers"
• Compressed medical gas (oxygen)
• Compressed medical gas compliance regulations
• Oxygen equipment standards
• Compressed medical gas record keeping
• Oxygen/combustible gas storage
• Delivery of compressed gas cylinders to client's home
• Cmg cylinder delivery record form
• Oxygen tracking log
• Batch quality control log - liquid oxygen
• Assigning batch and/or lot numbers
• Equipment calibration
• Oxygen analyzer calibration record form
• Scale calibration record form
• Inspections by fda
• Liquid oxygen fda regulation compliance checklist
• Master control record - bulk tank oxygen test
• Labeling procedure
• Liquid oxygen sample batch record tag
• Sample precautionary label - liquid oxygen
• Receiving procedure for liquid oxygen and high-pressure gas from supplier (not for bulk locations)
• Oxygen testing procedures bulk tank locations - new shipment
• Transfilling guidelines - oxygen cylinder
• Hydrostatic testing standards
• Oxygen cylinder pre-fill procedure
• Oxygen testing procedures when transfilling cylinders - compressed gas (high pressure)
• Transfill record form - compressed gas cylinder
• Oxygen transfill inspection report form
• Oxygen testing procedures for liquified gas in vehicle storage system
• Filling (liquid oxygen) portable cryogenic vessels from bulk storage or vehicle storage systems
• Filling of vehicle storage system
• Handling oxygen products which do not meet specifications
• Compressed medical gas storage - cylinders
• Oxygen storage (bulk)
• Refrigerated liquid oxygen form
• Portable gas cylinders form
• E cylinders flow chart

Section 6- Management of human resources

• Position description/performance evaluation
• Performance evaluation - age-related competency - dme operations manager
• Annual competency clinical skills assessment - dme operations manager
• Position description/performance evaluation - dme customer service supervisor
• Performance evaluation - age-related competency - dme customer service supervisor
• Annual competency skills assessment - dme customer service supervisor
• Position description/performance evaluation - dme customer service representative
• Performance evaluation - age-related competency - dme customer service representative
• Annual competency skills assessment - dme customer service representative
• Position description/performance evaluation - dme billing collection coordinator
• Annual competency skills assessment - dme billing collection coordinator
• Position description/performance evaluation - dme receptionist
• Performance evaluation - age-related competency - dme receptionist
• Annual competency skills assessment - dme receptionist
• Position description/performance evaluation - dme marketing representative
• Annual competency skills assessment - dme marketing representative
• Position description/performance evaluation - dme respiratory care supervisor
• Performance evaluation - age-related competency - dme respiratory care supervisor
• Annual competency clinical skills assessment - dme respiratory care supervisor
• Position description/performance evaluation - dme warehouse supervisor
• Performance evaluation - age-related competency - dme warehouse supervisor
• Annual competency skills assessment - dme warehouse supervisor
• Position description/performance evaluation
• Dme driver/service technician
• Performance evaluation - age-related competency
• Dme driver/service technician
• Annual competency skills assessment
• Dme driver/service technician
• Staff selection
• Current licensure, certification and registration
• Staff orientation checklists
• Orientation checklists:
• Administrative/management
• Office staff
• Driver/service technician
• Home care clinical staff
• Respiratory care - competency checklist
• Infusion therapy - competency checklist
• In-service and continuing education
• Continuing education attendance record form
• In-service attendance record form
• Performance evaluations
• Applications for employment

Section 7 - Management of information

• Information management plan
• Privacy and confidentiality of information
• Unacceptable abbreviation and symbol list
• Approved symbols and abbreviations list
• Client record policy
• Client record home care notes form
• Client information form
• Medical record audits
• Durable medical equipment medical records audit form
• Durable medical equipment record review summary form
• Answering service