REMINDER:  The Medicare Durable Medical Equipment, Prosthetics,
Orthotics, and Supplies (DMEPOS) competitive bidding program requires
all bidders and contract suppliers to comply with all applicable Federal
and State laws.  For example, bidders must comply with Federal antitrust
laws.  We take these laws very seriously and will not tolerate
violations.  Any supplier suspected to have violated Federal antitrust
laws by engaging in practices such as price fixing, bid rigging or other
forms of collusion will be referred to the Department of Justice for
investigation and is subject to having its bid rejected. For more
information, see the Department of Justice's fact sheet on the Federal
antitrust law on the Competitive Bidding Implementation Contractor
(CBIC) web site.  If you suspect entities participating in the
competitive bidding program may be engaging in practices that violate
antitrust laws, please contact the CBIC customer service center at
877-577-5331.  The CBIC will report antitrust concerns to the Centers
for Medicare & Medicaid Services (CMS) for referral to appropriate law
enforcement agencies.

 

Here is some important information for you to consider if you are
planning to use a consultant for the preparation of your bid(s):

 

Question:  May bidders use a consultant for the preparation of their
bids?

 

Answer:  While bidders may use consultants to assist in the preparation
of their bids, each bidder is responsible for validating and submitting
its own bid.  All bids must comply with all terms and conditions of the
Request for Bids (RFB), regardless of whether a consultant is used.

 

Question:  Are certain consultants or certain consultant services not
appropriate for assisting in bid preparation?

 

Answer:  If a bidder decides to use a consultant, any consultation
service must be consistent with the DMEPOS competitive bidding program
authorizing regulations and the RFB and permissible under all applicable
Federal laws.

 

If a supplier uses a consultant, the supplier may not knowingly use a
consultant that compares that supplier's bid with, or knowingly makes
bid item prices identical or substantially the same as, the bid of
another bidder(s).  Consultants must not violate any Federal antitrust
law or engage in anticompetitive behavior (e.g., comparing different
suppliers' bids or knowingly advising different suppliers to submit
identical or substantially identical bid prices) in preparing bids.  CMS
reviews the financial capacity of each bidder to supply DMEPOS at the
bid price and determines whether a bid is bona fide, and, generally,
whether the bid complies with the applicable law, regulations, and RFB.
CMS will reject a bid that is not bona fide or does not otherwise comply
with the law, regulations, or RFB.  If you suspect a consultant may be
engaging in practices that violate antitrust laws, please contact the
CBIC Customer Service Center at 1-877-577-5331.

 

If a bidder uses a consultant, the bidder needs to verify that the
information prepared by the consultant is accurate and can be certified
as true by the bidder.  Bidders certify that their bids are true,
accurate and complete when they approve Form B in DBidS.  Approving Form
B also certifies that the bidder understands that any omission,
misrepresentation, or falsification of any information contained in the
bid and all required attachments and supplemental information or
contained in any communication supplying information to CMS or the CBIC
may be punishable by criminal, civil, or other administrative actions
including revocation of approval, fees, and/or imprisonment under
Federal law.

________________________________________________________________________
_______

Flu Season is Here!

 

Annual outbreaks of the seasonal flu usually occur from late fall to
early spring.  Typically, 5 to 20 percent of Americans get the seasonal
flu, resulting in approximately 36,000 flu-related deaths.[1]   

 

If you have Medicare patients who haven't yet received their flu shot,
you can help them reduce their risk of contracting the seasonal flu by
recommending an annual seasonal influenza vaccination.  Medicare
provides coverage of the seasonal flu vaccine and its administration.
And don't forget to immunize yourself and your staff.  Protect yourself,
your staff, your patients, and your family and friends. 

 

Remember - Influenza vaccine plus its administration are covered Part B
benefits.  Note that influenza vaccine is NOT a Part D covered drug.

 

For information about Medicare's coverage of the seasonal influenza
virus vaccine and its administration as well as related educational
resources for health care professionals and their staff, please go to
http://www.cms.hhs.gov/MLNProducts/Downloads/flu_products.pdf on the CMS
website.  You will find a variety of resources that explain Medicare
coverage and claims submission policies related to the seasonal
influenza vaccine.

 

For information on Medicare policies related to H1N1 influenza, please
go to http://www.cms.hhs.gov/H1N1 on the CMS website.

--------------------------------------

[1] Flu.gov. 2009. About the Flu [online]. Washington DC: The U.S.
Department of Health and Human Services, 2009 [cited 30 November 2009].
Available from the World Wide Web: 
(http://www.flu.gov/individualfamily/about/index.htm
<http://www.flu.gov/individualfamily/about/index.html>  )

 

 

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________________________________

[1] Flu.gov. 2009. About the Flu [online]. Washington DC: The U.S.
Department of Health and Human Services, 2009 [cited 30 November 2009].
Available from the World Wide Web: 
(http://www.flu.gov/individualfamily/about/index.htm
<http://www.flu.gov/individualfamily/about/index.html>  )

 

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