DME Consulting Group, Inc. Information

DME Consulting Group, Inc. a privately held consulting company, provides in-home medical necessity evaluation services to local, regional, and national Managed Health Insurance Plans.  Since 1997 our Mobility Benefit Management (MBM) program has provided Medical Management teams with a balanced approach to utilization, pricing, and workflow for Medicaid, Medicare, commercial, and federal lines of business. The success of our MBM program is the result of our expertise, a robust network of state licensed physical and occupational therapists, a unique two-tiered medical necessity review process and a state-of-the-art technology platform that provides HIPAA, HiTech, and, HiTrust assurance and security.  For these reasons we are able to deliver objective, in-home data necessary to accurately determine medical need and apply coverage criteria so medical management can confidently make benefit decisions. The bottom line: DME Consulting Group provides payers the ability to accurately and appropriately manage the mobility benefit for their members while adhering to strict cost containment objectives. Our Services Include: •In-home medical necessity assessments •Peer Review •Pricing Strategies •Equipment Provider Contracting •High-Cost DME Workflow Optimization •State Fair Hearing Review and Support