DME/ O&P/ SUPPLIES

With firmly planted roots in the durable medical equipment (DME) industry and powered by relationships with over 17,800 credentialed providers and manufacturers, HOMELINK is without question the leader in DME/O&P/Supplies. With the help of experts who are intimately involved in every aspect of the industry from regulation to equipment manufacturing, you will not find another provider network as insightful as HOMELINK.

Our Review Process Provides Cost Containment Solutions for

• Manual & Power wheelchairs
• Pneumatic Compression Devices
• Bone Growth Simulators
• Electromedical
• Medical supplies
• Prosthetics

A Closer Look at the Processes

Prosthetic Review

The purpose of the HOMELINK prosthetic management process is to ensure medical appropriateness and management of medical expenses associated with the dispensing of prosthetic devices. Our prosthetic patient care coordinators (PCCs) work hand-in-hand with our clinical review team and staff prosthetists. Each prosthetic device ordered is assessed and evaluated to confirm the member receives the device they need and no unnecessary additions are included.

Claims with the following characteristics qualify for review:

• Myoelectric upper extremity prosthetics
• System upgrades to microprocessors
• Excessive utilization of miscellaneous codes

Miscellaneous Code Management

A dedicated team reviews all miscellaneous codes for proper usage, establishing a clear picture of utilization is obtained. 

Reauthorization

Focuses on member compliance with rental equipment and supplies through a defined follow-up workflow monitoring utilization. If a member is no longer using the equipment or supplies, HOMELINK notifies the claims professional and establishes next steps.

Rent to Purchase

By exercising strict business rules, our rent-to-purchase program spots costly overbilling once the purchase price of a product has been met by the cumulative rental payments.