ACCREDITATION & PAYER ENROLLMENT
Full-Service Setup and Support
Maximize Reimbursement & Compliance
Accreditation ensures your DME and pharmacy operations meet Medicare, Medicaid, and private-payer requirements—avoiding claim denials and payment delays.
Elevate Market Credibility
An accredited status signals to referral sources, payers, and patients that you adhere to the highest standards of quality and safety.
Streamline Operations
The rigorous accreditation process uncovers workflow inefficiencies, leading to smoother order fulfillment, reduced errors, and higher patient satisfaction.
Comprehensive Gap Analysis
We compare your existing documentation and workflows against accreditor
checklists—identifying missing policies, forms, or processes.
Customized Policy & Procedure Development
Every required manual (e.g., HIPAA/HITECH policies, Risk Management forms, Quality Improvement plan, Complaint Resolution procedures) is drafted and tailored to your organization’s size and service lines.
Category Expansion Assistance
We review the full Accreditation Categories spectrum (e.g., Gait/Braces, CGM Devices,
Wheelchairs, Hospital Beds, Urological Supplies, Surgical Dressings) and advise which codes to add—helping you capture maximum reimbursement in high-margin, profitable areas (e.g., Wound Care, CGM Supplies, Incontinence).
Two On-Site (or Virtual) Walkthroughs
Pre-Setup Survey: Assess physical layout, signage needs (e.g., “Clean”/“Dirty” zones),
equipment storage, and patient-file organization.
Final Readiness Audit: Confirm that all paperwork is in place, staff is trained, and quality-control measures are activated.
Mock Survey & Corrective Action Plan
We simulate a live accreditation audit—uncovering any lingering compliance gaps, then deliver a prioritized corrective-action roadmap so you enter your official survey with full confidence.
Staff Training & Education
Four hours of focused DME training—covering documentation accuracy, order processing best practices, billing/medical necessity requirements, and accreditation-specific workflows (e.g., patient-file preparation, complaint handling, equipment management).
Medicare & Medicaid Application Support
From NPI creation to application submission, we handle every step—ensuring your supplier number is in hand before your accreditation survey.
Dedicated Project Management
One point of contact manages all deliverables, deadlines, and communications—so you can
focus on patient care, not paperwork.
What You’ll Receive
Accreditation Roadmap & Checklist
A custom-branded guide that itemizes every required document (e.g., organizational chart, HR files, inventory logs, compliance signage) and milestones, so you never miss a deadline.
Full Policy & Procedure Manual
- HIPAA/HITECH Compliance
- Risk Management (Sentinel Event, Incident Reporting)
- Quality Improvement Plan (including audit logs, satisfaction surveys, complaint logs)
- Billing Audit Logs & Medicare Complaint Resolution Policy
- Infection Control & Equipment Management Guidelines
- Patient-File Protocols (5 sample files, delivery tickets, patient handouts).
Category Enrollment Worksheet
A tailored spreadsheet listing current and recommended product categories—complete with category codes (e.g., DM05 for non-mail-order Blood Glucose Monitors, M06 for Manual Wheelchairs, S02 for Diabetic Shoes).
On-Site Survey Readiness Report
A detailed summary of your operational strengths and any areas requiring remediation—plus proposed timelines and assigned responsibilities.
Training Materials & Job Aids
Slide decks, quick-reference checklists (e.g., order-entry steps: verify prescription →
eligibility check → coding → authorization → dispensing → documentation), and ongoing refresher modules.
Electronic Templates
Reusable forms (e.g., patient-consent letters, complaint forms, invoice templates) that you can recycle for reaccreditation three years later—minimizing future consulting fees.
Why Choose KSB Consultant Grp?
100% Survey Success Rate
Our clients consistently pass their first accreditation survey with zero corrective
actions—thanks to our meticulous preparation and industry-tested templates.
Decades of Healthcare & DME Expertise
We’ve built organizations from the ground up to multilocation operations serving
thousands of patients—so we know exactly what accreditors look for and how to optimize your workflows.
Category Expansion Guidance
Want to add a high-margin line (e.g., Custom Diabetic Shoes, Power Wheelchairs, Negative Pressure Wound Therapy)? We’ll walk you through the accreditation process for every
category code (DM through R and S series).
Turnkey, Reusable Deliverables
All policy manuals, forms, and job aids are delivered electronically—so you can adapt them for your reaccreditation three years later with minimal effort and cost.
Next Steps
Free 30-Minute Discovery Call
We’ll review your current accreditation status, discuss any upcoming survey windows, and outline a custom project plan.
Receive a Detailed Proposal
After our call, we’ll send a statement of work with clear deliverables, milestones, and transparent pricing.
Project Kickoff
Once approved, your dedicated project manager will reach out within 24 hours to begin the gap-analysis phase—propelling you toward accreditation success.
