Durable Medical Equipment Audits & Investigations Including Skin Substitutes

Webinar Description

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.

Webinar Objectives

After completing this webinar, participants should be able to:

• Understand key audit and investigation concerns involving Durable Medical Equipment.
• Recognize billing and documentation requirements for CPAP equipment.
• Identify important documentation considerations for orthotics.
• Recognize the essential information needed to support medical necessity in the medical record.
• Understand documentation considerations associated with skin substitutes.
• Identify documentation requirements related to neoplasms.
• Recognize common documentation gaps that may contribute to claim denials.
• Understand the importance of documenting that ordered equipment was dispensed to the patient.
• Apply practical documentation principles to help reduce avoidable billing and claim-denial issues.

Webinar Highlights

Webinar Agenda

• DME Audits & Investigations
• CPAP Billing & Documentation Requirements
• Orthotics Billing & Documentation Requirements
• Medical Necessity & Essential Medical-Record Documentation
• Skin Substitutes: Billing & Documentation Considerations
• Neoplasm Documentation Requirements
• Common Claim Denials & Denial Prevention

Who Should Attend?

• Physicians
• Therapists
• Practice Managers
• Medical Assistants
• Nurses
• Medical Billers
• Medical Coders
• Compliance Professionals
• Revenue Cycle Professionals
• Risk Management Professionals
• Charge Entry Staff
• Chargemaster Maintenance Staff