The DME & HME Suppliers Fix Kit
Built for durable and home medical equipment (DME and HME) suppliers.
This is one of the rare lanes where the government itself publishes the leak. This kit finds where the money leaks in your own work and gives you the steps and the words to close each one.
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The 7 leaks it covers
4 you can close it · 2 the other side owes it · 1 a pro decides
- Proof of delivery missing or incomplete when Medicare asks for itWhere to look first: Pick 10 claims at random from the last 2 years. Try to pull the signed proof of delivery for each one in under 5 minutes.Keep it from coming back: No delivery ticket closes without every field and a signature. Monthly spot-check of 10 files.You can close it
- New Medicare DMEPOS enrollment — moratorium expired, enrollment open againWhere to look first: This is not a leak on your claims. It is a status you need to know. If you held off on a new enrollment or a new location because of the freeze, that freeze ended August 27, 2026.Keep it from coming back: Re-check CMS's enrollment and moratorium status once a quarter before you plan any new location or product line.You can close it
- Claims filed past the 12-month timely-filing limitWhere to look first: Nothing usually recovers a claim that was filed late. Late-filing denials cannot be reopened.Keep it from coming back: File-by date on every claim at delivery. Weekly sweep of anything unbilled past 60 days.You can close it
- Capped-rental items: continued need not documented month to monthWhere to look first: List every capped-rental patient and the rental month each one is in.Keep it from coming back: Monthly continued-use check logged before every rental claim. Any gap in need gets a dated note the same day.You can close it
- Denials written off while the appeal clock is still runningWhere to look first: List every open denial: claim number, date on the remittance, denial reason.Keep it from coming back: Each denial gets a deadline on the calendar the day the remittance arrives. No write-off without a second look at the reason code.The other side owes it
- Documentation denials written off as final instead of fixed and appealedWhere to look first: Pull every denial from the last 12 months and sort by reason code: clerical (wrong code, modifier or date), missing documents (order, proof of delivery, records), or a real coverage issue.Keep it from coming back: An intake checklist for each product line: order, proof of delivery and any required notes in hand before the claim goes out.The other side owes it
- Owner's profit and entity structure — tax exposure not reviewedWhere to look first: This is not a leak to recover. It is a question for your CPA. Write down how you are paid now: as owner profit (self-employment income) or as a W-2 wage through an S-corp election.Keep it from coming back: Review the setup with your CPA once a year, before year-end.A pro decides
Free: one full leak from this kit
No sign-up, no email. Here is leak 1 of 7 exactly as it appears in the kit, so you can see what you get before you buy.
Proof of delivery missing or incomplete when Medicare asks for it
You can close it- Pick 10 claims at random from the last 2 years. Try to pull the signed proof of delivery for each one in under 5 minutes.
- For each one, check it shows the patient's name, delivery address, a description of each item (HCPCS code, or brand and model), the quantity, the delivery date, and the signature of the patient or designee.
- Fix the gaps going forward: a delivery ticket that cannot be closed without every field and a signature.
- Store every proof of delivery by patient and date of service, and keep it at least 7 years from the date of service.
- For shipped items, keep the carrier's delivery record and link it to your paperwork with the tracking number or your invoice number.
Your part: Get the signature at the door and snap the photo.
DRIVER CHECKLIST (read at every delivery) "Before I leave, I need a signature. Can you check that your name and address are right, look at the items and the count, and sign and date here? If you're signing for [PATIENT NAME], please print your name and how you're related." RECORDS REQUEST TO YOUR SHIPPING VENDOR (for mailed items) Subject: Delivery records for [YOUR COMPANY], [DATE RANGE] Please send the delivery confirmation and tracking records for our shipments from [DATE] to [DATE], account [ACCOUNT #]. We need them for our patient files. [YOUR NAME] | [PHONE]
No delivery ticket closes without every field and a signature. Monthly spot-check of 10 files.
What this kit can't decide for you: Medicare's documentation and coverage decisions belong to the DME MAC. We organize records; we do not judge whether a claim will pass review.
That's 1 of 7. The other 6 come the same way in the kit: steps, words to send, a habit to keep each one closed.
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What people in this work look up
When durable and home medical equipment suppliers go looking for answers, they search things like “dme billing”, “medicare dme requirements”, “hme billing” and “dme billing codes”. Those searches turn up forms, averages and other people's numbers. This kit starts from your own records instead: the 7 places money leaks in this work, where to look first and the words to send to close each one.
What you get for each leak
- Numbered steps to close each leak
- Your part, spelled out
- Words you can use: letters and scripts, ready to send (fill in the brackets)
- A habit that keeps each leak from coming back
- An honest line on what the kit can't decide for you
A page from the kit
Questions people ask
What proof of delivery does Medicare require for DME?
Missing or incomplete proof of delivery is one of the top leaks. The kit shows what to keep on every order.
Should I appeal DME claim denials?
Many get written off while the appeal clock is still running. The kit shows how to fix documentation denials and appeal on time.
What is the timely-filing limit for DME claims?
Twelve months. Claims filed after it are lost. The kit shows how to track it.
What it can't decide for you
This kit works from your own records. It doesn't give legal, tax, licensing or financial advice, and it never tells you what to charge. Where a CPA, attorney, insurer or state board makes the call, the kit says so and gets your records ready for them.
12-page PDF · instant download after payment · Code VYR-KIT-CLAIM-01
Opens secure checkout. Instant download after payment. 30 days to ask for a refund — refund policy · terms
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