Durable Medical Equipment (DME) refers to reusable medical supplies prescribed by healthcare providers for patients’ home use. These devices are typically covered by insurance when deemed medically necessary. However, obtaining reimbursements requires meticulous documentation, coding, and compliance with payer regulations.
DME billing involves the process of submitting insurance claims for such equipment, ensuring that every claim aligns with the payer’s requirements. Unlike standard medical billing, DME billing includes specific codes, modifiers, rental tracking, and compliance verifications — all of which make it a unique and specialized branch of medical billing.
Examples of Durable Medical Equipment:
Mobility aids: wheelchairs, walkers, crutches
Respiratory devices: CPAP/BiPAP machines, oxygen supplies
Orthopedic supports: braces, splints, prosthetics
Monitoring tools: glucose meters, blood pressure monitors
Hospital-use items: beds, commodes, suction pumps
Each of these items requires specific documentation, authorization, and justification before billing. Errors in any of these steps can result in claim rejection or delayed payments.