What we do

Durable Medical Equipment  

Durable medical equipment (DME) plays a critical role in supporting Medicaid beneficiaries, making effective reimbursement, pricing, utilization, and program integrity oversight essential for state agencies. Myers & Stauffer provides comprehensive durable medical equipment consulting services, helping Medicaid programs strengthen DME reimbursement analysis, claims oversight, pricing validation, and fraud, waste, and abuse prevention.

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Supporting Oversight of Durable Medical Equipment & Supplies 

Durable medical equipment (DME) includes medically necessary equipment and supplies provided to Medicaid beneficiaries in home and community settings. These items are typically reimbursed through fee schedules and require oversight to ensure appropriate utilization, pricing, and billing. 

Myers & Stauffer supports state agencies in evaluating and overseeing DME programs through reimbursement analysis, data validation, and program integrity activities. 

Comprehensive DME Program Oversight

Myers & Stauffer helps state Medicaid agencies strengthen durable medical equipment (DME) programs through reimbursement analysis, utilization monitoring, claims review, and program integrity services that support accurate payments and effective oversight.

Reimbursement & 
Pricing Analysis 

We assist agencies in assessing DME reimbursement methodologies and pricing structures. 

Our services include: 

  • Evaluation of fee schedules and pricing methodologies. 
  • Analysis of reimbursement trends and policy impacts. 
  • Review of pricing consistency across equipment categories. 
  • Financial analysis to support program decision-making. 
Utilization & 
Claims Analysis 

DME services can present variability in utilization and billing practices. 

We support agencies through: 

  • Analysis of claims and encounter data. 
  • Identification of utilization trends and cost drivers. 
  • Detection of unusual billing patterns or service anomalies. 
  • Evaluation of high-cost or high-volume items. 
Program Integrity & 
Oversight 

DME programs often present elevated program integrity risks related to billing and documentation. 

Our work includes: 

  • Support for audit and program integrity initiatives. 
  • Review of billing practices and documentation. 
  • Identification of potential fraud, waste, or abuse risks. 
  • Development of monitoring tools and oversight approaches. 

Supporting Medicaid Program Oversight 

Our work related to DME is part of a broader approach to Medicaid reimbursement, managed care, and program integrity. 

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Connect With Our Team

Partner with experts who understand the complexities of health and human services programs. Let us guide your organization through the industry’s unique challenges and opportunities.

Ryan Farrell, CFE
Principal

Email: rfarrell@mslc.com
Phone Number: 512-342-0800

Mike Johnson, CPA, CFE
Member

Email: mjohnson@mslc.com
Phone Number: 404-524-0775

Tim Guerrant, CPA
Member

Email: tguerrant@mslc.com
Phone Number: 317-815-2935

In the Words of Our Clients…

Myers & Stauffer is an amazing working partner with a multitude of knowledge and experience. They are always eager to assist with our needs and respond promptly to requests.”

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