DME Compliance Made Easy
According to the IRS, good records are used to monitor the progress of your business. Corporate records can show whether your business is improving, which services you may want to add, or what changes to make. Excellent record–keeping is a cornerstone of DME compliance, increasing the likelihood of long-term business success. And when any of your credentialed federal, state, or commercial health insurance representatives show up on-site, you are 100% prepared by QPI and through Lavear for a review of all operational documents, licenses, accreditations, and credentials.
DME Accreditation - Corporate Structure Management
We take federal regulations, accreditation standards, state statutes, local laws, and payer/insurance requirements and apply them electronically to our clients’ organizational administration. Our dedicated Program Managers work one-on-one with each client to ensure compliance administration and standards implementation in alignment with DME accreditation requirements. These requirements are satisfied across personnel files, operational documents, policies and procedures, and daily quality assurance activities—all housed in Lavear.
Our series of checks and balances ensures that the organization runs smoothly, efficiently, and in full compliance with DME accreditation standards.
Credentialing for Organizations
DME licensing is now more than just registration and maintenance within a provider’s or organization’s home state. In today’s telehealth-driven and nationwide healthcare environment, many providers are obtaining licensure across multiple states to expand their service areas. QPI assists with DME licensing and credentialing for providers and organizations. We work with you to strategize growth within your home state and surrounding regions, and we assist in applying for, obtaining, and renewing the appropriate licenses in each state to ensure full compliance and operational readiness.
Credentialing doesn’t stop at licensing. Often, healthcare providers spend time and money applying to become enrolled with Health Insurance Networks as in-network providers with federal, state, and commercial health insurance plans when seeking reimbursement from care, treatment, or services that have been delivered to patients.
Over time, the relationships that we have worked hard to establish with our patients’ insurers are mistaken with a “set it and forget it” mindset. Provider to insurance relationships are not stagnant. Patient care is not stagnant. Patients’ insurance premiums and Providers’ reimbursements are also not stagnant.
QPI’s Credentialing Team ensures that all credentials are maintained and renewed. We work with Providers to remind leadership teams when to renegotiate contracts.
QPI will also work with Providers to strategize growth based on your specialty, service areas and patient needs. We believe that advising patients “we don’t accept your insurance” is unacceptable in most circumstances.
Our team works with Providers to devise a game plan to apply and reapply to closed networks in order to maximize your patient reach, ultimately increasing revenue.
Growth, increased patient outreach, and enrollment with health insurance plans is great, but we can’t forget the root of it all—compliance administration and standards implementation, both of which tie back into QPI’s HARP Light Technology.
DME Accreditation Organization Management (If Applicable)
Formal audits may be conducted by Accreditation Organizations to evaluate your organization’s participation in federal, state, or commercial health insurance programs. QPI supports providers through every phase of DME accreditation—from initial accreditation and reaccreditation to reporting organizational changes to the accrediting body. As part of our DME compliance strategy, QPI integrates real-time support through Lavear’s “Report On-Site Surveyor” feature, which gives providers immediate, uninterrupted access to our Program Managers for documentation retrieval and live survey support.
Additionally, QPI works with organizations to address any cited deficiencies during the survey process, including the development and submission of corrective action plans and clarification documents, ensuring continuous DME compliance and successful maintenance of DME accreditation status.
DME Accreditation Standards Implementation
Organizational credentialing and licensing are driven by Providers’ delivery of quality care. At times, federal and state health insurance plans may require Providers to become accredited. Healthcare accreditation is an independent evaluation from a CMS pre-approved third-party to confirm Providers’ implementation and formal demonstration of industry standards.
Among standards implementation, many health insurance requirements include validation of policies and procedures. What is your written word? And is it standardized for implementation within your organization, unilaterally?
HARP Light Technology is essentially a SIM (Standards Implementation Methodology) Technology. Our process is simple. Together, we define your goals, measure aspects of your processes, analyze data, suggest methods to improve your processes and discuss ways to control future performance.
Organizational credentialing and licensing are driven by providers’ commitment to delivering quality care. In many cases, federal and state health insurance plans require providers to achieve DME accreditation. This form of healthcare accreditation involves an independent evaluation by a CMS-approved third party to verify a provider’s formal implementation of industry standards and ongoing DME compliance.
A key component of DME compliance is the validation of written policies and procedures. What is your written word—and is it standardized and implemented unilaterally across your organization?
HARP Light Technology functions as a SIM (Standards Implementation Methodology) system, uniquely supporting DME accreditation readiness. Our process is simple: we define your goals, measure your operational performance, analyze key data, recommend process improvements, and develop strategies to ensure continued success and regulatory control.
