01
Intake qualification and PA
Documentation completeness checks and prior authorization across payer types.
Industry · DME
Order-to-cash discipline across thousands of HCPCS combinations.
DME providers operate at scale across HCPCS codes, modifiers, payer-specific medical policies, and proof-of-delivery requirements. Small operational gaps compound into seven-figure A/R issues quickly.
Operational pain
Where the operation breaks down.
01
Order intake and qualification
Documentation collection and medical necessity gaps slowing intake and increasing denials.
02
HCPCS and modifier accuracy
Payer-specific modifier rules and policy updates outpacing internal training cycles.
03
Aging A/R and small-balance write-offs
High claim volume creating long-tail aging that quietly erodes margin.
Reimbursement complexity
The payer landscape, plainly.
Medicare LCDs, payer-specific medical policies, competitive bidding pricing, capped rental, and PA-required HCPCS combine into a billing environment that punishes ad-hoc workflows.
Staffing reality
You cannot hire your way through this.
We provide DME-experienced intake, authorization, and follow-up teams sized to your claim volume and payer mix.
How we support dme operations
What an engagement actually delivers.
02
Billing, modifiers, and rental tracking
Pre-bill scrubbing tuned to your top denial reasons.
03
A/R follow-up at scale
Worklist segmentation by aging, payer, and balance with measured throughput.
Operational outcomes
What stabilization looks like for dme.
Outcomes vary by baseline and segment. The numbers below are representative of mature dme engagements after six months.
Discuss DME OperationsDME Engagement Benchmarks
Days in A/R
34Median, post-stabilization
Clean-Claim Rate
96%First-pass acceptance
Denial Overturn
88%Inside the appeal window
Aggregate engagement performance. Individual results vary by segment and baseline.
Other segments we serve
Ready to stabilize your revenue operations?
Connect with our operational advisory team to evaluate your current intake-to-cash workflow and identify leakage points.
Request an Operational Assessment
Confidential Operational Reviews · Post-Acute Specialists Only