DME Case Studies
How Salyx RCM worked with DME suppliers on denials, aging A/R, rental claims, same-or-similar checks, payment posting and delivery-to-billing delays. Results shown are illustrative.Reducing Denials and Improving First-Pass Claims Acceptance
Initial denial rate
15% to 8%
Illustrative results after 90 days
A respiratory and CPAP supplier added eligibility, authorization and documentation checks before submission and cut its initial denial rate from 15% to 8%.
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Accelerating A/R Recovery and Reducing Aging Claims
Days in A/R
72 to 49
Illustrative results after 120 days
A DME provider with Medicare, Medicare Advantage and commercial claims worked its oldest receivables first and cut average days in A/R from 72 to 49.
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Strengthening Recurring Rental Billing and Documentation Compliance
On-schedule recurring claims
88% to 98%
Illustrative results after 90 days
An oxygen and PAP rental supplier checked each rental month against its billing schedule and raised on-schedule recurring claims from 88% to 98%.
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Fewer Same-or-Similar Denials on Medicare DME Claims
Preventable denials (per month)
45 to 20
Illustrative results
A supplier checked equipment history and same-or-similar status before billing Medicare, cutting preventable denials from 45 to 20 a month.
Catching DME Underpayments During Payment Posting
Unresolved after 30 days
95 to 35
Illustrative results
A DME supplier compared every payment with contracted rates and cut payment discrepancies left open past 30 days from 95 to 35.
Shortening the Gap Between Delivery and Claim Submission
Delivery to claim submission
9 to 3 days
Illustrative results
A supplier tracked orders by hold reason and documentation status, reducing the time from delivery to submission from 9 days to 3.