AR Follow-Up for DME Billing and Durable Medical Equipment Claims
DME billing depends on documentation, coverage rules, and HCPCS accuracy. Medicare and commercial payers apply strict validation that makes DME one of the highest-risk AR categories.
Where AR breaks
- Missing or expired CMNs and physician orders
- Proof of delivery not attached to claims
- Rental versus purchase billing mismatches
- Modifier errors such as RR, NU, KH, or KX
- Unmet Medicare coverage criteria
Why payers deny
- HCPCS codes do not match diagnosis or medical necessity
- Missing delivery and setup documentation
- Violated rental cycle rules
- Incomplete authorization or supplier records
How MedSole follows up
- Verify CMNs, delivery, and supplier documentation before resubmission
- Track rental cycles and payer specific coverage windows
- Monitor 276 and 277 status feeds for Medicare and commercial plans
- Appeal underpayments using contract rates and policy references
What results you get
- Fewer rental cycle write offs
- Stronger Medicare and Medicaid collections
- Recovery of underpaid supplies and equipment
- Cleaner long term AR balances

































