Durable Medical Equipment

Durable Medical Equipment (DME)

Your DME Agency is the adhesive  to solidify your partnerships and relationships in the community.Typically, patients who need DME — such as patients with diabetes — also tend to be patients who need a range of different products and services that your pharmacy can provide. Offering quality DME products and a knowledgeable staff is one of many ways to better serve this population to build deeper relationships and increase the revenue per customer.

The U.S. DME market is large, growing — and can be profitable for independent pharmacies. While competitive bidding under Medicare and other regulations have made DME sales more challenging, the U.S. DME market is expected to grow from $46.5 billion in 2015 to $60.2 billion in 2020.1

Increases in the aging population, the move to serve more patients at home and increased insurance coverage all play a part in increasing demand.

However, one poll found that 89% of home medical equipment providers had stopped accepting Medicare assignment on certain products in the past year.2 As a result, 47% of customers choose to pay for their equipment up front.

Durable medical equipment and supplies are designed to be used long-term as opposed to thrown away after use. The primary methods used to pay for expenses associated with medical supplies both durable and disposable are Medicare part B, Medicaid, Veteran’s Benefits, Private Insurance and Self-Pay. All coverages for Durable Medical Equipment are determined if medically necessary and the patient meets the medical criteria and guidelines for its use are met.

DME that Medicare covers includes, but isn't limited to:

  • Air-fluidized beds & other support surfaces (these supplies are only rented)
  • Blood sugar monitors
  • Blood sugar test strips
  • Canes
  • Commode chairs
  • Continuous passive motion machines
  • Continuous Positive Airway Pressure devices & accessories
  • Crutches
  • Enteral nutrition supplies & equipment
  • Glucose control solutions
  • Hospital beds
  • Hyperbaric oxygen (HBO) therapy
  • Infusion pumps & supplies
  • Lancet devices & lancets
  • Nebulizers & nebulizer medications
  • Oxygen equipment & accessories
  • Patient lifts
  • Suction pumps
  • Traction equipment
  • Walkers
  • Wheelchairs & scooters

Your own Franchise helps you secure patients in multiple areas.  The following models will complement your DME patient opportunities/census:

  • Companion Care
  • Medicare Home Health
  • Hospice

Our DURABLE MEDICAL EQUIPMENT (DME) business set up includes the following;

Step one

Register DME company

  • Corporate Documents
  • Tax id/NPI number

Step two

  • Complete and send state and accrediting body Policies and Procedures

Step three

  • Completion of DME state licensing application
  • Coaching agencies for states that require a licensing survey

Step Four

  • Completion of Medicare application
  • Completion of Medicare bidding application (open enrollment one a year)

Step five

Preparation for Medicare DME Site survey(one day onsite survey to include):

    • Office set up/ operational requirement
    • Ordering equipment process
    • Storing and drop shipping equipment
    • Cleaning equipment
    • Handling returns of equipment
    • Tracking process and Using required forms
    • Handling recalls
    • Following process if providing respiratory equipment (respiratory therapist contract etc.)
    • Billing process
    • Etc.