Durable Medical Equipment (DME) Billing

Overcome the unique challenges of DME billing with our documentation-first approach.

Documentation is Key

DME claims have some of the highest audit rates in the healthcare industry. Whether it's CPAP machines, wheelchairs, or orthotics, proving medical necessity is paramount.

Order Validity Checks

Ensuring all prescriptions meet payer-specific requirements (Detailed Written Orders).

Proof of Delivery

Managing delivery tickets and patient signatures to survive audits.

Rental Management

Tracking capped rentals using modifiers (RR, KH, KI, KJ) correctly.

Common DME Challenges We Solve

  • Incorrect modifiers leading to denials
  • Missing Certificates of Medical Necessity (CMN)
  • Authorization expiration for recurring rentals
  • Improper coding of supplies vs equipment