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Claim denials are one of the most persistent revenue problems in the HME/DME industry. A billing team can do everything right (document the order, verify coverage, submit on time) and still receive a denial because of a single missed step upstream. The frustrating reality is that most DME claim denials are preventable. The same handful of root causes appear repeatedly: eligibility gaps, missing documentation, incorrect coding, and expired authorizations. Understanding exactly where claims break down (and how to close those gaps) is the difference between a billing operation that bleeds revenue and one that consistently collects what it earns.

https://nikohealth.com/why-dme-claims-get-denied-and-how-to-fix-them/