CMS Pub. 100-04, ch. 36, § 01

42 CFR 411.15 and 414

This chapter provides guidance on the Medicare DMEPOS Competitive Bidding Program and

general instructions on billing and claims processing for DMEPOS items subject to this program.

General instructions on billing and claims processing for DMEPOS items, except as noted in this

chapter, are in Chapter 20 of this manual. The payment rules for DMEPOS items specified in

Chapter 20 of this manual generally apply to DMEPOS competitively bid items and services

unless otherwise noted in this chapter. Coverage requirements in the Medicare Benefit Policy

Manual and National Coverage Determinations manual will continue to apply to the Medicare

DMEPOS Competitive Bidding Program unless noted otherwise in this chapter.

The instructions in this chapter are applicable to items and services subject to the Medicare

DMEPOS Competitive Bidding Program unless otherwise noted. They pertain to Medicare

contractors, including, but not limited to: Medicare Administrative Contractors (MACs),

Program Safeguard Contractors (PSCs), and the DMEPOS Competitive Bidding Implementation

Contractor (CBIC). These instructions are also applicable to DMEPOS suppliers.