SpecialtiesCare settings & programs
How we see dme billing.
Reviewed by the VisMed care settings & programs billing team
A DME claim needs a compliant order from the treating practitioner, a face-to-face encounter note that supports medical necessity for that item, the supplier’s proof of delivery, and for many items a prior authorization or a specific form. Each document has to say the right thing and be dated in a sequence the payer accepts. Rentals add monthly cycles with caps, continued-need and continued-use documentation, and equipment-specific rules such as oxygen qualifying values or PAP compliance data.
On top of the documentation sit supplier standards, accreditation, surety bonds and competitive bidding or fee schedule rules that govern what a supplier may bill and where. Audits of DME are frequent and documentation-driven.
VisMed gives DME suppliers an intake checklist per product category, chases documents from the ordering practice with a template that shows exactly what is needed, tracks rental and resupply cycles per patient, and keeps every claim linked to its complete file.
Where dme practices lose money
The patterns we find in the aging and denial history before anything else changes.
Incomplete files
A missing face-to-face note, an order without the required elements or a delivery record without a signature makes the claim unpayable and recoupable.Rental cycles missed
Monthly rental claims not filed, capped-rental transitions handled wrong, or continued-need documentation not obtained stop payment mid-cycle.Authorization and forms
Power mobility, some respiratory equipment and many supplies require authorization or specific forms before delivery. Delivered without them, the item is not paid.Qualifying data
Oxygen saturation values under specified conditions, PAP compliance downloads and similar item-specific evidence must be in the file and within the required windows.Resupply frequency
Supplies are covered at defined frequencies with documented continued use. Shipped too often or without contact, they are denied.
What we do differently for dme
Specialty-matched coders and a denials specialist, working inside your own system.
We check an intake list per category
Every product category has its document list and sequence, checked by us before delivery.We chase the ordering practice
Orders and face-to-face notes requested with a template that shows the ordering practice exactly what is needed, and followed up until complete.We track rentals and resupply
Monthly cycles, caps, continued-need and continued-use documentation and resupply eligibility tracked per patient and item.We keep files audit-ready
Every claim linked to its complete document set, so audit requests are answered from the file.
What we bill
The procedure and code families your account team already works in.
DME billing, asked and answered.
What a physician-owner in this specialty asks on the first call.
What documents does VisMed need before we deliver?
It depends on the category, and VisMed gives you a checklist per item: the order with its required elements, the face-to-face encounter note supporting necessity, any authorization or payer form, and item-specific evidence such as qualifying oxygen values. Delivery waits until the file is complete.
How does VisMed get documentation from ordering practices?
With a request template per item that shows the ordering office exactly what the note must contain, and follow-up until it arrives. Ordering practices that struggle get a short guide from us, because their documentation decides your payment.
Can VisMed manage our rental cycles?
VisMed tracks monthly claims, capped-rental transitions, continued-need and continued-use documentation and item-specific compliance requirements per patient so payment continues through the cycle.
Does VisMed handle supplier enrollment and accreditation?
VisMed’s credentialing team handles enrollment, revalidation, accreditation documentation and competitive bidding or fee schedule compliance.
How does VisMed handle power mobility claims?
Power mobility has the most demanding file in DME: a face-to-face mobility examination, a detailed written order, a home assessment and, for most payers, prior authorization, all in sequence. VisMed builds that file item by item before the chair is ordered, because an out-of-sequence date makes the whole claim unpayable.
Also in care settings & programs
Federally qualified health centers
PPS rates, wrap-around and sliding-fee reporting.
Wound care
Debridement levels, skin substitutes and frequency edits.
Hospice
Election periods, levels of care and NOE timing.
Home health
OASIS-linked episodes and PDGM grouping.
Nursing homes & assisted living
Consolidated billing and Part B carve-outs.
Behavioral health
Parity rules, telehealth and group-session codes.
Substance-use treatment
Bundled programs, MAT and authorization units.
All specialties
The full list, in six groups
See where your dme practice is losing money. Free.
Six months of aging and denials, read by people who bill your specialty every day — quantified as monthly leakage with a recovery estimate. Yours to keep.
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