See what DME denials may be costing you
Enter a few monthly numbers and this estimator shows the DME claim value at risk from denials, plus a recovery scenario you control. It is an illustrative estimate from your own inputs, with no sign-up and no patient data.
Estimate denied value, then model recovery
Rough monthly inputs are fine. The estimate updates live and stays on your device.
Your numbers
Enter rough monthly figures. Everything updates live; nothing is saved or sent.
Estimated denied value
Modeling cpap / pap devices and supplies.
- Denied / month
- --
- At risk / month
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Model your recovery
A what-if based on the recovery rate you entered. This is your scenario, not a NextRCM promise.
Where DME denials usually start
- Missing or invalid Standard Written Order (SWO)
- Missing or late proof of delivery (POD)
- Eligibility or coverage not verified up front
- Prior authorization not obtained
- Incorrect HCPCS code or DME modifier
- Medical necessity or documentation gaps
- Capped-rental sequencing or timely-filing errors
Illustrative estimate based only on the numbers you enter. It is not a guarantee of recovery or a promise of any specific result, and it uses no fixed NextRCM percentages. Nothing is saved or sent, and no patient data is collected. Actual denial and recovery rates vary by payer, item, and documentation.
A/R health: days in A/R and cost to collect
A quick secondary check on how fast you collect and what collecting each dollar costs. Same idea: illustrative, on-device, nothing saved.
Days in A/R
How long, on average, money sits before it is collected. Lower is better.
Cost to collect
What it costs to collect each dollar, as a percentage. Lower is better.
Illustrative estimates based only on the numbers you enter. Nothing is saved or sent. Actual figures vary by payer mix, specialty, and accounting method.
Turn the estimate into a plan
Top DME denial reasons and fixes
The grounded guide behind this estimator: the denials that cost DME suppliers most, and how to prevent and overturn them.
Read the guideDME Denial Scorecard
A short self-assessment across the areas where DME revenue is usually won or lost.
See the scorecardDenial management service
How our team works denials at the root cause, not just resubmits them, to recover revenue.
Explore the serviceWant a real read on your denials?
Get a consultation and we'll walk your DME workflow and show you where claims are most likely leaking, with no guarantees, just an honest look.