Tip From The Trenches

Date Published: August 15 2013

Why are so many PMD requests for prior authorization denied?

Answer: Incomplete or insufficient medical justification documentation.

DMEevalumate’s advice: Get your DME documentation checklist in order. And check it twice before submitting to a payer source like Medicare. 

If you are overwhelmed with paperwork and do not want to create additional work and checklists, subscribe to, the only truly interactive electronic template that:

- Helps eliminate the top four reasons for PA denial as stated in a July CMS report: CLICK HERE

- Compares the physician’s answers during a face-to-face evaluation with Medicare’s coverage criteria.

- Helps DME providers accurately determine whether or not PMD requests will be approved or denied for payment.     

- Rules out requests for mobility equipment that are not considered a medical necessity.

- Provides free marketing support for DME providers to approach referring physicians and obtain accurate and complete PMD documentation. 

This information is brought to you by Tips from the Trenches, in response to FAQs from our customers. For more information, contact us at or call 800-986-9368.

Back to news

What people are saying

" is the perfect solution to time management and accurate documentation," James Smith, M.D.