Specialized DMEPOS billing for medical equipment suppliers. Expert prior authorization management, CMN documentation, and rental billing compliance. 92% PA approval rate.
Proven Results
92% PA Approval Rate
70% Denial Reduction
45% Faster Payments
35% Revenue Growth
Common Challenges
Prior Authorization Complexity
DME requires detailed prior authorizations with specific documentation, physician orders, and medical necessity justification before equipment delivery.
Same/Similar Denials
Medicare and payers deny claims when similar equipment was provided within the reasonable useful lifetime period without proper documentation.
Rental vs Purchase Complexity
Complex billing rules for capped rental equipment require precise tracking of rental months and conversion to purchase at month 13.
Certificate of Medical Necessity
Many DME items require properly completed CMN forms with physician signatures and specific clinical information.
Our Solutions
DME Billing Specialists
Expert team with specialized knowledge of DMEPOS billing requirements, prior authorization processes, and supplier standards.
DMEPOS billing certification and expertise
Prior authorization management specialists
Medicare DMEPOS competitive bidding knowledge
Average 12+ years DME billing experience
Authorization & Documentation Tracking
Comprehensive systems to manage prior authorizations, CMN requirements, and RUL tracking to prevent denials.
Automated prior auth tracking and follow-up
CMN completion monitoring and validation
RUL database prevents same/similar denials
Delivery ticket and signature documentation
Compliance & Accreditation Support
Ongoing compliance monitoring ensures adherence to Medicare DMEPOS supplier standards and accreditation requirements.
DMEPOS supplier standard compliance
Accreditation maintenance support
Quality standards documentation
Surety bond and licensing tracking
Revenue Optimization Strategies
Maximize reimbursement through proper rental billing, modifier usage, and competitive bidding program navigation.
Rental to purchase conversion tracking
Modifier KX and other requirement management
Competitive bidding contract optimization
Private payer contract negotiation support
Service Features
Prior Authorization Management
Complete prior authorization submission, tracking, and appeal management for all DMEPOS items.
PA submission and follow-up
Clinical documentation review
Appeal letter preparation
Expedited review requests
Rental & Purchase Billing
Accurate capped rental billing with proper month tracking and conversion to purchase when applicable.
Monthly rental billing
13-month purchase conversion
Maintenance and repair billing
Replacement tracking
CMN & Documentation Services
Certificate of Medical Necessity preparation, physician coordination, and supporting documentation management.
CMN completion and submission
Physician order coordination
Face-to-face encounter documentation
Medical record requests
DMEPOS Compliance Support
Comprehensive compliance management for Medicare supplier standards and quality requirements.
Supplier standard monitoring
Quality standards documentation
Accreditation support
Medicare audit preparation
Client Testimonial
Medtransic's DME billing team has been incredible. They handle all our prior authorizations, CMN documentation, and competitive bidding requirements seamlessly. Our PA approval rate went from 68% to 92%, and we've eliminated same/similar denials completely. They truly understand DMEPOS billing.