📊 Case Study: How a DME Store Recovered $2M and Cut Claim Denials by 50%
Durable Medical Equipment (DME) providers often deliver excellent patient care but still face serious financial struggles due to billing challenges.
Here’s how Rapid Claim Care partnered with three DME stores in Georgia and Florida — Atlanta Medical, A Plus Medical Supplies, and Duluth Medical Supplies — to turn around their revenue cycle, reduce denials, and recover millions.
🏥 Client Background
- Operated multiple DME stores in Florida & Georgia
- Provided orthopedic supports, mobility aids, wheelchairs, braces, and other orthoses
- Billed $2.5M in claims over 12 months (mostly PPO payers)
🚨 Key Challenges
- 65% Claim Denial Rate – missing records, inactive coverage, wrong payer submissions
- No Eligibility Verification – coverage wasn’t checked before delivery
- Revenue Stagnation – only $200k/month collected despite $2.5M billed
- Compliance Risks – incomplete documentation exposed audit risks
✅ Solutions Implemented by Rapid Claim Care
- Medical Records Audit – completed missing records & physician notes
- Appeals & Proof of Delivery – resubmitted corrected claims with strong documentation
- Eligibility Verification – pre-billing checks for active coverage
- Correct Payer Routing – redirected claims to the right payers
- CPT/HCPCS Optimization – ensured compliant, maximum reimbursements
- Revenue Cycle Redesign – streamlined submissions, appeals, and follow-ups
📈 Results Achieved
- 💰 $2M+ recovered from denied claims
- 📊 Monthly revenue grew from $200k → $800k
- 🚫 Denials cut by 50%
- ⚡ Faster payments with 30–40% improved turnaround
- 😀 Happier patients & store owners
🗣️ Client Testimonial
“Rapid Claim Care turned around our billing operations. From recovering millions in denied claims to ensuring smooth reimbursements, they have become an integral partner in our growth. We now focus on patient care while they handle the financial backbone.” – DME Store Owner, Georgia
💡 Lessons Learned
- Eligibility verification is non-negotiable
- Documentation = reimbursement
- Strong appeals reverse more denials
- Revenue cycle optimization is continuous, not one-time
🔔 Closing Thought
This case study proves that DME providers don’t just need good service — they need airtight billing operations to survive and thrive.
👉 If you’re a DME store owner facing denial challenges, revenue stagnation, or compliance risks, it’s time to rethink your billing strategy.
📩 sales@rapidclaimcare.com | 📞 +1 (754) 315-3322
