09/30/2013    Paul Kesselman, DPM

Denial of DME Application

From your letter, it appears that you never
received a rejection and have no idea why your
application was denied. There are many reasons why
an application may be rejected. For a sole
proprietor DPM, it is often a simple matter
(e.g. having different spellings of your name or
the office address in different areas of the
application, or part of the application may not
have been completed, or something was lost or
misplaced by the NSC in your package). It could
also be a complex issue such as a previous history
of banishment from Medicare, previous licensure
suspension etc. or some scenario in between simple
and complex (NPI not matching tax ID, etc).

The primary issue right now is for you to find out
why you were rejected and respond to that. If this
is a simple matter than often speaking with the
right person may often result in a rather quick
fix.

Often NSC numbers may be reactivated especially if
you act in a timely fashion without too much
trouble.

I urge you not to waste time in contacting NSC and
ask to speak with an NSC enrollment ombudsmen
(Level two or higher supervisor) in order to find
out why your application was rejected. The
reason(s) will dictate your course of action.

Certainly disputing the charge with AMEX is an
option, but may not get you your money back, nor
is that your main objective! Your only objective
is to have your application approved. AMEX may
still process the payment because you did submit
an application and the fee you pay is for
processing the application. There is no inherent
guarantee that the outcome of that processing is
an approval.

You may wish to consider having a private
enrollment specialist assist you with this matter,
particularly if have a complex issue for the
applications rejection.

Paul Kesselman, DPM, Woodside, NY,
drkesselmandpm1@hotmail.com

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