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This training is specifically catered to providers who submit DME Review Type request. This training is intended for Durable Medical Equipment (DME) providers to clarify prior authorization requirements and documentation standards for DME reviews submitted through Qualitrac. Attendees will receive guidance on common review issues including wheelchair requests, dual eligibility concerns, and coordination of care for beneficiaries residing in long-term care facilities. This session is particularly useful for billing staff, compliance officers, and DME providers seeking to improve approval outcomes. A Q&A session will follow to address any questions. Specific Review Trainings are offered at two different times for your convenience, but you only need to attend one session per topic.

Session Topics

• Overview of DME review process and timelines
• Documentation requirements for standard vs. complex DME
• Addressing dual eligibility and nursing facility scenarios
• Navigating common provider errors and compliance issues
• Q&A session with Telligen review staff