DME and O&P SOLUTIONS
WHAT WE DO BEST
Improve per claim charges. Avoid denials. Engage can help you grow and retain revenue through our best in class solutions.
DME and O&P SOLUTIONS
WHAT WE DO BEST
Improve per claim charges. Avoid denials. Engage can help you grow and retain revenue through our best in class solutions.
ENSURE PAYMENT ACCURACY…FUTURE-PROOF CLAIMS
Grow and Retain DME, Orthotics and Prosthetics and Home Infusion Revenues
Recovery Audits can be costly. Unfortunately, most organizations do not understand how costly audits can be until it is too late. Once audit teams find your vulnerability, it is difficult to avoid a series of focused audits and painful denials. Since policy and audits issues change frequently, your historical statistics are not a good indicator of the outcome of your next audit, and often create a false sense of security.
Engage can help. Our policy and reimbursements experts can improve your business performance. The team has first-hand experience in the Recovery Audit Contractor program as well as experience working with well-known health plans across the country. We understand the complexities of submitting compliant DME and O&P claims for Medicare, Medicaid, and commercial plans. Let Engage show you how our experience can help improve your operation.
Engage developed customized templates, guidelines, workflows, and other solutions meant to improve claim accuracy for DME suppliers and O&P providers. The Engage approach will provide your team the knowledge and understanding necessary to maximize each claim opportunity, provide the peace of mind that claims are submitted properly and also provide a solid defense strategy against wrongfully denied or underpaid claims. Our end-to-end solution for DME suppliers and O&P practitioners is the best way to submit appropriate claims and maximize your income.
DOCUMENT
CHECK SYSTEM
Our system of easy to use solutions can improve your compliance efforts and subsequently improve claim processing turnaround and denial rates.
EXPERT
GUIDANCE
The Engage DME, O&P and HIT experts can assist with claim support. We help guide your staff in order to properly submit claims thereby reducing recovery audit denials.
AVOID
AUDITS
Engage helps providers avoid preventable recovery audits by ensuring that coverage criteria are met upfront. Don’t put yourself on the radar with bad claim elements.
DME AND O&P
CONSULTING
Our experts can help you improve your processes and systems in order to increase and retain the revenue you generate. History is not a good indicator of audit success. Contact us to discuss your next audit.
DENIAL
MANAGEMENT
When audits occur, Engage can help you mitigate denial costs with techniques and strategies that improve success rates in the appeal process.
Click below to download our “Customized DME Solutions” service description sheet
Recovery Audit Denials
Did you know that over 86% of the DME, including O&P and home infusion, recovery audit denials are made because of documentation issues? By using our best in class solutions, you can avoid these costly documentation errors.
Insufficient Documentation Denial Rate
According to CMS, most denials occur due to documentation issues. DME suppliers and O&P practitioners shouldn’t fall victim to these avoidable and costly errors. Our easy to follow and cost sensitive solutions can avoid mistakes before they occur.
Average Cost of Typical DME Denials
Based on billing patterns, an average denial of a DME claim is worth over $1,000. We know that other, more valuable items, are denied for much more than this amount. Are you confident your billing practices meet the scrutiny of an audit?
Average Cost of Typical Home Infusion Denials
Home infusion therapy is a likely target due to the high utilization coupled with high cost. Engage has the answer to retaining your reimbursements and avoiding the high cost of wrongfully denied or underpaid claims.
Denials are costly…Our services are not! Don’t hesitate.
Let Engage help your organization retain more revenue by improving processes, workflows, and accuracy while holding payers accountable. We’re best suited to help:
See How Engage Can Help
- Experienced – our team has been involved in millions of reviews for government and commercial health plans. Our DME and O&P reimbursement and policy expertise sets us apart.
- Simple – no need to worry about complex or cumbersome implementations. Our solutions are easily implemented, step-by-step for simplicity, and stay current with policy.
- Strategic – we know how to approach denials that isn’t an all or nothing proposition. Engage Health can maximize value and help you avoid pitfalls.
- Flexible – work with Engage to develop a program that meets your operational, and financial goals to drive high ROIs.
Contact Engage to improve your operation…the initial consultation is Free!
Denials are costly, as noted above. Our services are not. Don’t hesitate. Let Engage help your organization retain more revenue by improved processes, workflows and accuracy. We’re best suited to help:
Look How We Can Help
- Experienced – our team has been involved in millions of reviews for government and commercial health plans. Our reimbursement and policy expertise sets us apart.
- Simple – no need to worry about complex or cumbersome implementations. Our solutions are easily implemented, step by step for simplicity and stay current with policy.
- Strategic – we know how to approach denials that isn’t all or nothing situation. We can maximize value and avoid pitfalls.
- Flexible – let’s develop a program that meets your operational and financial goals. We can drive high ROIs.
Free initial consultation – contact us to discuss how Engage can improve your operation.
