Home Tags Cheryl Henninger

Tag: Cheryl Henninger

Compliance: Implement a pre-billing review

October 6, 2026Cheryl Henninger

Q. What documentation should be in place before a DME claim is submitted? A. A DME claim should not reach billing until the patient file already supports the item ordered, the patient’s eligibility and medical need, and the provider’s compliant delivery of service. Start with the order. It should be complete, signed and specific enough for the item and accessories being billed. Then review the medical record to confirm it supports the diagnosis, coverage criteria and continued need....

Cheryl Henninger, claim submission, Compliance, Documentation