Durable medical equipment analytics for ACOs
ACO DME
ACO DME helps accountable care organizations understand their durable medical equipment (DME) program: what it costs, which claims are being denied, and whether patients are getting the equipment and supplies they need.
Spending review
We compare an ACO’s DME claims with national benchmarks, by category and supplier, to show where money is going.
Denials
We track denied claims and help billing teams prepare appeals for items that should have been covered.
Patient access
We flag patients whose therapy was interrupted or whose denied equipment was never replaced, so care teams can follow up.
How it works
- Share your claims data.Your team sends the Medicare claims files your ACO already receives. There is nothing to install.
- We review your DME program.Spending, suppliers, denials and gaps in care are compared with national and peer benchmarks.
- Work from one portal.Your staff see findings, savings opportunities and patient follow-ups in a private, invite-only portal.
Who it’s for
ACO leadershipA clear view of DME spending against benchmarks, with savings tracked over time.
Care managementLists of patients whose equipment or supplies have lapsed, ready for outreach.
Billing and financeDenial patterns by supplier and item, and the documentation appeals need.
Contact
Email ben@hbmedicalsupplies.io to learn more or to set up your organization.