DMEPOS Bidding Presents Major Problems for Equipment ProvidersPublished: 2009-12-25 19:59:33Author: Astrid Fiano | DOTmed | December 21, 2009The Medicare Durable Medical Equipment, Prosthetics, Orthotics, and
Supplies (DMEPOS) competitive bidding program Round One Rebid window
for bidding closes today. Many DMEPOS suppliers have been highly
critical of the bidding process and its effect on the industry.
DOTmed spoke with Rob Brant, president of Accredited Medical
Equipment Providers of America, (AMEPA) of North Miami Beach, FL,
regarding the DMEPOS bidding program. AMEPA was started by Brant and
other equipment providers in April 2008 in response to the original
Round One results of the DMEPOS program. DMEPOS was part of the
Medicare Modernization Act in 2003, with competitive bidding in ten
metropolitan areas. The organization is national, but primarily focused
in Round One areas. Brant explains that the results of the first
competitive bidding were a steep reduction in equipment providers, and
cuts in reimbursement.
"One of the first things that happened was reduction of 90 percent
of the providers. Eventually the program was delayed by the MIPPA Bill
of 2008. Congress delayed continuing the bidding program because of
certain problems--the large reduction of providers and the fact that
unlicensed, inexperienced, and out-of-state companies won bids while 90
percent of providers in the areas were removed from the program."
Miami: A Case in Point
In the Miami Tri-County area, Brant reports, 500 oxygen providers
were reduced to only 44. Nine of the actual bid winners were not
licensed as Medical Oxygen Retail Establishments, Brant points out, and
had not handled oxygen services previously. "They had set up a low-end
bid, and some were trying to sell their winning bid after the fact. You
can sell your business including the bid contract; companies will bid
without the intention of servicing patients--they don't even have a
physical location in the area. They called up companies that did not
win the bid and asked if they wanted to buy their company, essentially
buy their contract. This situation has not been changed; you can still
sell your business and transfer the bid contract to the new owner,
turning the winning contract into a commodity."
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