ED Coding & Reimbursement Alert - 2004 Issue 42
Durable Medical Equipment: Are You Throwing $200 K Away?
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Article Overview
This article explains the business considerations behind becoming a Medicare durable medical equipment supplier. It is aimed at practices that provide dressings, wound care supplies, orthotics, braces, or other equipment and want to understand the general reimbursement, enrollment, licensing, and operational issues involved. The discussion focuses on evaluating whether supplier enrollment may be worthwhile, what administrative steps are involved, and what practice-level factors should be reviewed before pursuing it.
Why This Topic Matters
For practices that already dispense supplies or equipment, supplier enrollment can affect whether those items are reimbursable and whether the effort required to participate is justified. The article helps readers assess the broader financial and compliance implications before committing resources.
Article Sections
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Gain reimbursement for items that you already provide
Introduces the basic business idea of whether a practice can receive payment for supplies it already sends home with patients. The section frames the revenue opportunity and the general Medicare-related context.
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Evaluate Your DME Situation First
Outlines the main practice-level questions to consider before applying to become a supplier. It covers operational, financial, and administrative factors, along with general considerations for different types of equipment and services.
What You Will Learn
- How durable medical equipment supplier enrollment relates to practice revenue
- What broad administrative steps are involved in becoming a supplier
- Which practice characteristics may affect whether supplier participation is worthwhile
- What general operational and financial factors should be reviewed before pursuing enrollment
Who Should Read This
- Physician practices
- Medical office managers
- Billing and reimbursement staff
- Durable medical equipment suppliers
- Practice administrators
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