Durable Medical Equipment (DME) audits and investigations can create significant challenges for healthcare providers, particularly when medical necessity is not adequately established, documentation is incomplete, or records do not confirm that the ordered equipment was dispensed to the patient.
This webinar explores key audit and documentation concerns involving Durable Medical Equipment, with a focus on CPAP equipment, orthotics, and other identified areas of concern. Participants will gain an understanding of the importance of accurate medical records, appropriate supporting documentation, and the relationship between medical necessity and successful claims submission.
The session also examines documentation considerations for skin substitutes, including situations in which medical necessity may be questioned and additional documentation or authorization requirements may apply. The program highlights the importance of ensuring that medical records support the services and items billed.
In addition, the webinar addresses documentation considerations related to neoplasms and strategies for reducing the risk of claim denials. Participants will explore common documentation gaps and learn why complete, accurate, and appropriate medical-record support is essential when billing for DME and related services.
Whether you are involved in clinical documentation, medical billing, coding, compliance, auditing, or revenue cycle management, this session provides practical insights into DME audit concerns, documentation requirements, and denial prevention.
By understanding common audit risk areas and strengthening documentation practices, healthcare professionals can better support medical necessity, improve the quality of claim submissions, and reduce avoidable billing and documentation issues.
After completing this webinar, participants should be able to:
After completing this webinar, participants should be able to:
Dorothy Steed is an Independent Healthcare Consultant and Educator. She has served as a Medicare specialist and a physician audit supervisor for hospital systems with 50 years of experience in healthcare. She is an instructor at a state technical college and provides auditing & training in both facility and physician services. She is credentialed in medical coding, medical billing, medical auditing, utilization management, healthcare management, healthcare compliance, clinical documentation improvement, revenue cycle and patient accounts. Additionally, she has participated in multiple healthcare audits and investigations for both plaintiff and defendant She has provided review services for 2 state QIO organizations & served as an expert witness in several legal disputes. She holds a Master’s degree in Strategic Leadership Development.
