What Do You Need for a DME Audit?

As a provider of durable medical equipment (DME), it’s essential to prepare for a DME audit. A DME audit can be a daunting task, but the Medbill team is here to help! 


This blog post goes over everything you need to know about preparing for a DME audit. We’ll cover what you should have in your records, what to consider in a system for tracking data, and what types of documentation the auditors may be looking for. Let’s dive in.


For DME Audits, Preparation Is Key

No matter how experienced you are with running a Durable Medical Equipment (DME) business, the idea of undergoing an audit can be unsettling. The best way to prepare for an audit is to understand what you’ll need and have all your documentation in order. 


The first step is to identify the type of DME products that are the focus of the audit. This information will determine the specific regulations that apply.


Next, you’ll want to gather all the pieces of required documentation, including invoices, medical records, and prescriptions. It’s also important to have a thorough understanding of your organization’s billing procedures and policies.


DME Audit? Dust Off Those Records

If you’re preparing for a DME audit, there are three critical classes of information you should make sure you have in your records: clinical documentation, policies and procedures, and proof of compliance.


Clinical documentation will show the rationale behind why certain items were ordered or prescribed. Policies and procedures will demonstrate that your facility is following industry-standard protocols. Finally, proof of compliance will show that your business adheres to all state and federal regulations governing DME providers.


By having these three elements in your records, you’ll be able to confidently face any auditor who comes knocking on your business’s door.


Hot on the Trail of DME Audit Data

DME auditors live and breathe data — which should give you a clue about one of the first things they’ll be after upon arrival. When it comes to data management for a DME audit, having a system to assist with tracking this data is essential.


There are many different ways to do this, but the most crucial point is to find a method that works for you and your team. After all, if your approach to data management is cumbersome or clunky, the chances are that it will not be adequately maintained over the long haul.


One proven method for tracking data is to use software designed specifically with this task in mind. A system like this can help keep all of your information organized in one easy-to-access location. This will make your data much more efficient to reference when you need it and help you avoid any mistakes that could occur if your data is disorganized or difficult to access.


DME Audit Documentation: Can I Get That in Writing?

What else will DME auditors be looking for? The answer is there in black and white: documentation. These documents could include your business’s policies and procedures, medical records, financial records, and possibly more.


Depending on the size and scope of your business, you may need to provide different types or amounts of documentation. The best way to be prepared for an audit is to know what information the auditor will be looking for ahead of time and have it ready to present.


At Medbill, we have a proven track record of assisting DME providers with managing audits. If you’d like to put our seasoned team of industry veterans to work for your DME business, contact us today for more information or to request a quote.