Strengthening Recurring Rental Billing and Documentation Compliance
DME supplier providing oxygen equipment, PAP devices and other recurring rental equipment.
The challenge
The supplier was dealing with billing delays tied to expired authorizations, incomplete medical documentation, rental-month tracking problems and missed follow-up on unpaid recurring claims.
Our approach
- Reviewed rental billing schedules and payer-specific requirements.
- Monitored authorization dates and documentation gaps.
- Flagged claims that needed updated prescriptions or medical records.
- Reconciled claim submissions against billing schedules.
- Set up recurring follow-up and exception reporting for unpaid claims.
Results
| Metric | Before | After |
|---|---|---|
| Recurring claims submitted on schedule | 88% | 98% |
| Initial denial rate | 12% | 6% |
| Average days in A/R | 61 days | 44 days |
| Authorization/documentation exceptions identified before submission | 65% | 94% |
Business impact
Matching every rental month against the billing schedule raised on-schedule recurring claims from 88% to 98%. Authorization and documentation problems were caught before submission 94% of the time, up from 65%, so the initial denial rate fell from 12% to 6% and average days in A/R dropped from 61 to 44.
How Salyx RCM supports DME providers
Rental claims repeat every month, so a missed authorization date or an expired prescription can stall several claims at once. These are the services we use to keep each rental month billable.
- Eligibility and benefits verification
- Prior authorization and documentation tracking
- Claims submission and denial management
- Insurance A/R follow-up and appeals
- Payment posting and reconciliation
- Recurring rental and supply billing support
- Payer-specific reporting and performance monitoring
Explore our DME billing services.
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