10decodersYour team already has the answer.
It's buried in 900 pages.
Ask DME reads your payer policies, coverage criteria, SOPs, orders, chart notes and denial history — then answers in plain language, cites where it came from, and starts the work that follows.
Why this problem never goes away.
DME knowledge doesn't live in a system. It lives in people.
Coverage criteria change. Payers publish updates as PDFs. Your best coordinator knows which chart note satisfies which policy — and that knowledge walks out the door when she does.
Places one answer hides
Medicare LCDs, payer portals, the supplier manual, three shared drives, a binder at the front desk, and whoever has been here longest.
To make a new hire useful
Every DME operator knows the ramp. Coverage rules are learned one denial at a time, and the tuition is paid in written-off claims.
Is all it takes
A missing signature date. A face-to-face note outside the window. One line turns a delivered order into unpaid work you've already done.
