Explore the Latest Resources from the Medbill Team
Stay informed with Medbill’s blog, where we share expert guidance, practical tips, and industry updates to help DME providers navigate the industry’s complexities.
DME Data Migration: Why the Move Isn’t Your Real Risk
Is data migration the biggest risk when switching DME billing systems? No. A clean migration matters, but it's the more solvable part of the job. The bigger risk is choosing a platform you'll outgrow, one that can't scale, connect, or adapt, and quietly recreates the...
AI-Powered Downcoding and Underpayments: How to Catch Revenue Loss Before It Compounds
What is AI-powered downcoding? AI-powered downcoding is when a payer uses automated claim-editing tools or algorithm-based review to reimburse a claim at a lower service level than what was submitted. Unlike a denial, the claim still pays. That is what makes...
Medical Necessity Documentation for DME: Prevent These 5 Critical Gaps That Trigger Denials
What is medical necessity documentation for DME, and why does it trigger so many denials? Medical necessity documentation is a specific, documented trail of clinical evidence proving that a piece of equipment is reasonable and necessary for a patient's condition. It's...
Where DME Billing Teams Lose the Most Time, and How to Get It Back
Where do DME billing teams lose the most time, and what actually gets it back? DME billing teams lose time in predictable places: intake errors, missing or non-compliant documentation, late eligibility checks, prior authorization delays, claim rework, denial...
Billing Data Accessibility: Why It Matters for DME Providers (And What to Look For)
What is billing data accessibility for DME providers? Billing data accessibility is how quickly and easily your revenue cycle team can retrieve, filter, and act on claim data, without switching between systems, waiting on reports, or requesting IT help. For DME...
Why Data Processing Integrity Should be the Standard in Billing
In DME billing, security is non-negotiable. But a system can be completely secure and still process your data incorrectly — and in billing, incorrect data has a direct cost. Misstated receivables. Payment posting errors. Inaccurate financial reporting. Audit exposure....
How TrueSight’s Inovalon Integration Ends the DME Insurance-Change Denial Cycle
How do DME providers prevent claim denials caused by patient insurance changes? The provider usually finds out about a coverage change through a denied claim — often weeks after it was submitted. Because DME involves long-term rentals billed monthly (sometimes for...
TrueSight is SOC 2 Certified: What That Means for DME Providers
DME providers handle sensitive data on every single claim: patient demographics, physician documentation, insurance information, and Protected Health Information (PHI). At the same time, reimbursement rules under CMS are constantly shifting, which means the accuracy...
How the 2026 Fee Schedule Changes Affect Your Bottom Line
When Medicare adjusted its DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) fee schedule on January 1, 2026, the reimbursement bump ranged from as low as 1.35% to as high as 2.8%, depending on what you supply and where your patients live. And...
How to Improve Cash Flow and Reduce Risk in Complex Rehab and O&P Reimbursement
Complex Rehab Technology (CRT) and Orthotics & Prosthetics (O&P) reimbursement is not the same as traditional DME billing. These are high-dollar, high-risk claims. A single order can exceed $10,000 to $100,000. Documentation is layered and payer-specific....
CMS Moves DME Accreditation to an Annual Cycle: What Providers Should Do Now
CMS is changing how DMEPOS accreditation works. Under a new ruling, DME suppliers will move from a three-year accreditation cycle to annual accreditation with tighter compliance standards. For providers, this shifts accreditation from a periodic event to an...
How 15-Day Continuous Glucose Monitoring Impacts DMEs
Continuous glucose monitoring (CGM) is an essential part of life for people with diabetes. DME providers play a key role in ensuring they have access to the devices necessary to do it.With newer CGM systems now cleared for up to 15 days of wear, understanding the...