Featured insights and articles

DME billing is complex, with shifting rules, strict documentation, and high denial rates.

Prior authorizations are the biggest delay in DME billing, causing patient care lags, denials, and heavy admin work.

Incomplete or weak documentation is a top reason DME claims are denied, even when the equipment is truly needed.

DME coding mistakes—especially between OTS and custom fit—lead to denials, audits, and lost revenue.

DME billing denials are common, costly, and often preventable with better front-end checks and documentation.

DME billing is a complex, manual process that drains staff time, increases errors, and contributes to burnout.