QPI Healthcare Services, LLC specializes in guiding DME providers through the complex regulatory landscape to achieve seamless accreditation, compliance, and operational efficiency. With over 35 years of industry expertise and partnerships with major accreditation organizations like ACHC, Joint Commission, and CHAP, QPI delivers tailored solutions to ensure providers meet federal, state, and payer requirements.
Our comprehensive service model, HARP (Human Resources, Administration, Risk Management, and Patient Outcomes), streamlines administrative burdens by integrating compliance, quality assurance, and credentialing into a single, efficient workflow. Through our proprietary Lavear software, we centralize documentation, automate compliance tracking, and provide real-time oversight, empowering DME providers to maintain accreditation and enhance operational performance with confidence.
Recognizing that many providers struggle with knowing the next steps to maximize efficiency and compliance, we created The DME Training Center, a learning management system designed to educate and inform on the fundamentals of core standards. This self-paced program ensures DME suppliers understand the essential operational and regulatory requirements needed for success. And when you’re ready to take your business to the next level, QPI Healthcare Services can serve as your virtual administrator—deducting the cost of The DME Training Center from your enrollment fee.
Beyond compliance, we offer strategic support in Medicare site visit preparation, performance improvement reporting, and internal quality control assessments to help DME suppliers sustain long-term success. As an ACHC Partner, we provide accreditation discounts, expedited survey options for BOC, and customized crosswalks for operational readiness. Whether you're launching a new DME company or seeking to enhance your current operations, QPI Healthcare Services delivers the expertise and tools necessary to navigate regulations, improve patient outcomes, and drive business growth in this heavily regulated industry.
Medicare Isn’t the Only Game in Town!
The DME Training Center is for those looking to effectively own and operate a Durable Medical Equipment (DME) company. This course offers a comprehensive approach to managing the complexities of DME businesses, especially focusing on record keeping, which is crucial in a constantly evolving industry.
Here’s a quick breakdown of what this course has to offer:
Detailed Training: It's tailored specifically to your company's needs, which could help you streamline operations and stay compliant with industry standards.
90-Day Access: You’ll have 90 days to access the course materials and tools, giving you ample time to absorb the content.
Resources: You’ll have access to helpful resources like sample policies, templates, and rule books that can guide your day-to-day operations.
Knowledge Base Module: A structured way to get the necessary information and resources during your training.
Support: Email [email protected] for any questions, so you can get assistance during your course.
Core Curriculum
Before you sign up, preview five courses for free.
Module 1 Introduction
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Module 2 Administration: Corporate Structure
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Module 2 Administration - Accreditation
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Module 2 Administration - Policies and Procedures
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- Why Are Policies & Procedures Important?
- Accreditation Compliance
- Regulatory & Medicare Compliance
- Operational Consistency & Training
- Continuous Improvement
- Section 1: General Compliance & Accreditation Alignment
- Section 2: Human Resources & Employee Training
- Section 3: Risk Management & Quality Control
- Section 4: Patient Experience & External Quality Control
- Section 5: Administrative & Operational Compliance
- Section 6: Updates Based on Recent Survey Findings
- Quiz: DME Provider Policies & Procedures Checklist
Module 2 Administration - CMS Supplier Standards
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Module 2 Administration - CMS Quality Standards
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- Summary of CMS DMEPOS Quality Standards
- Section I: Supplier Business Services Requirements
- B. Financial Management
- C. Human Resources Management
- D. Consumer Services
- E. Performance Management
- F. Product Safety
- G. Information Management
- Quiz: DMEPOS Supplier Standards outlined in 42 CFR 424.57
- Section II: Supplier Product-Specific Service Requirements
- B. Delivery & Setup
- C. Training & Instructions
- D. Follow-Up Services
- Quiz: Section II: Supplier Product-Specific Service Requirements of the DMEPOS Quality Standards
- Appendices: Respiratory
- Appendix B: Mobility Devices (Wheelchairs & Assistive Technology)
- Appendix C: Prosthetics, Orthotics, & Therapeutic Shoes
- Quiz: DMEPOS Quality Standards Appendices
Module 2 Administration - Purpose of the DMEPOS Supplier Manual
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- Introduction
- CMS DMEPOS Jurisdiction C Winter 2025 Supplier Manual
- Supplier Enrollment & Compliance
- Supplier Documentation & Orders
- Billing & Claim Submission
- Medicare Coverage & Fee Schedules
- Medicare Secondary Payer (MSP) Rules
- Fraud & Abuse Prevention
- Appeals & Overpayments
- Resources & Education
- Quiz: DMEPOS Supplier Enrollment & Compliance
Module 2 Administration - DME Payer Sequence
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- Introduction
- Understanding the Beneficiary 20% Co-Pay (0:54)
- CMS Guidelines on Billing the 20% Co-Pay (0:41)
- Policy on Not Sending Separate Statements to Patients
- Best Practices for Compliance
- Primary Payer (First to Bill)
- Secondary Payer (If Applicable)
- Tertiary Payer (If Applicable)
- DME Payer Sequence Illustrated Flowchart
Module 2 Administration - Introduction to Insurances
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Module 2 Administration - Medicare A-B-C-D Explained
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Module 2 Administration - Medicare Provider Enrollment - Part 1
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Module 2 Administration - CEDI - Medicare Provider Enrollment - Part 2
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- Step 1: Common Electronic Data Interchange (EDI) Transactions with NGS (National Government Services)
- Step 2: EDI Transaction Codes
- Step 3: Trading Partner ID
- Step 4: Crosswalk Your NPI to CEDI
- Step 5: Submit the CEDI NGS Submitter ID Application
- Step 6: Wait for Approval & Obtain Your Submitter ID
- Step 7: Complete Required Testing (If Applicable)
- Step 8: Start Submitting Claims via EDI
- Final Notes & Pro Tips:
- Supporting Documentation
Module 2 Administration - DMEPOS MAC Web Portals - Medicare Provider Enrollment Part 3
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- DMEPOS Jurisdiction Web Portals & Provider Enrollment
- Key Functions Available on MAC Portals
- Step 1: Registering for DMEPOS Jurisdiction Web Portals
- Step 2: Gather Required Information
- Step 3: Register for a Provider Portal Account
- Step 4: Request Access to Portal Functions
- Step 5: Log In & Start Using the Portal
Module 2 Administration - Medicare Advantage Plans
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- Introduction to Medicare Advantage Plans
- Steps to Ensure Reimbursement for Medicare Advantage Plans
- Reimbursement Challenges for Medicare Advantage Plans
- Best Practices for Success with Medicare Advantage Plans
- Enrollment Steps
- Credentialing and Contracting
- Managing Claims and Appeals for Medicare Advantage Plans
- Resources to Help with Enrollment and Claims
- Step 1: Introduction to Enroll with MAP’s Timeline
- Step 2: Credentialing & Contracting (Week 3-8)
- Step 3: Preparing for Patient Services (Week 9-12)
- Quiz: Enrolling with Medicare Advantage Plans & Managing Claims
Module 2 Administration - Medicaid - Managed Care Organizations
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- Introduction to Medicaid
- Understanding Medicaid Managed Care
- Step1: Enroll with a Medicaid MCO – State Medicaid License Required
- Step 2: Complete Medicaid Provider Enrollment
- Step 3: Credentialing & Contracting with the MCO
- Step 4: Verify Network Participation & Training
- Managing Claims & Compliance
- Quiz: Medicaid Managed Care Organization (MCO) Provider Enrollment
Module 2 Administration - In Network Commercial Insurance Carriers
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Module 2 Administration - Introduction to Out of Network Insurance Carriers
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Module 2 Administration - Insurance Enrollment Changes
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Module 2 Administration - Competitive Bid
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Module 3 Human Resources - Human Resources Department
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- Introduction
- CMS Requirements for HR Records
- Accreditation Standards (ACHC, BOC, Joint Commission, etc.)
- State HME Licensing Requirements
- Licensed Providers (Pharmacists, Respiratory Therapists, etc.)
- Human Resources Department Checklist
- Background Checks & Compliance Training
- Provider Vaccination Requirements
- Quiz: CMS Requirements for HR Records & Compliance
- Bonus Lesson - Equipment Overview, Fee Schedules, Cost, ROI Video
Module 3 Human Resources - Job Descriptions
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- DME Provider Job Descriptions: Importance & Key Roles
- Ensuring Compliance & Best Practices
- Essential DME Provider Job Descriptions
- Essential DME Provider Job Descriptions | Compliance Officer
- DME Technician
- Respiratory Therapist (if applicable)
- Customer Service Representative (CSR)
- Billing & Reimbursement Specialist
- Delivery Technician
- Warehouse/Inventory Manager
- Quiz: DME Provider Job Descriptions & Compliance
Module 3 Human Resources - DME Evaluation and Skills Assessments Examples
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- DME Evaluations & Skills Assessments: Ensuring Competency and Compliance
- DME Technician Competency Checklist
- Respiratory Therapist (RT) Competency Checklist
- Customer Service Representative (CSR) Skills Assessment
- Billing & Reimbursement Specialist Assessment
- Warehouse/Inventory Manager Assessment
- Performance Evaluations & Competency Review Process
- Quiz: DME Evaluations & Skills Assessments
Module 3 Human Resources - DME Equipment Training
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Module 4 Risk Management - Introduction to Risk Management
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- Understanding Risk Management and DME Billing
- Regulatory Compliance
- Internal Controls and Fraud Prevention
- Patient Safety & Quality Assurance
- Financial Risk Mitigation
- Overview of DMEPOS Billing Process | Patient Eligibility Verification
- Patient File Documentation Requirements
- Claim Submission and Coding
- Denials, Appeals, and Audits
- Best Practices for Risk Reduction in Billing
Module 4 Risk Management - Medicare Fee Schedule
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- Overview of the DMEPOS Medicare Fee Schedule
- Key Components of the DMEPOS Medicare Fee Schedule
- “Ceiling” and “Floor” Reimbursement Limits
- Payment Methodologies
- Rural vs. Non-Rural Reimbursement
- Beneficiary Cost-Sharing
- Adjustments & Annual Updates
- How to Access the DMEPOS Medicare Fee Schedule
- Quiz: DMEPOS Medicare Fee Schedule
Module 4 Risk Management - Billing - Local Coverage Determinations (LCD's)
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Module 4 Risk Management - Pricing Data Analysis and Coding (PDAC)
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Module 4 Risk Management - Billing - State License Directory
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Module 4 Risk Management - Patient Eligibility
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- How to Verify Patient Eligibility for DMEPOS Products and Services
- Step 1: Verify the Patient’s Insurance Coverage
- Step 2: Confirm HCPCS Code Coverage
- Step 3: Review Local Coverage Determinations (LCDs) & Medical Necessity
- Step 4: Check Prior Authorization & Documentation Requirements
- Step 5: Verify Patient Financial Responsibility
- Step 6: Document & Maintain Compliance Records
- Prevent Billing Issues with Pre-Verification
- Quiz: DMEPOS Patient Eligibility Verification
Module 4 Risk Management - Patient Documentation Requirements
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- DMEPOS Patient Documentation Requirements & Supplier Responsibilities
- Key Documentation Requirements for DMEPOS Suppliers
- Required Documentation Before Claim Submission
- Advance Beneficiary Notice (ABN) – When to Issue
- Delivery and Pickup Documentation
- Backup Equipment Policy
- Supplier Record-Keeping Requirements
- DMEPOS Fee Schedules & Billing Rules
- Medicare Participating vs. Non-Participating Suppliers
- Quiz: DMEPOS Patient Documentation Requirements
Module 4 Risk Management - Patient Order Intake
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- Patient Order Intake Form
- Patient Information
- Insurance Information
- Prescribing Licensed Independent Practitioner Information
- Equipment Ordered
- Insurance & Billing Verification
- Required Documentation Checklist
- Compliance & Documentation Requirements
- Use QPI Healthcare Services LLC’s Pre-Billing Checklist
- Quiz: Patient Order Intake Form
Module 4 Risk Management - Patient Pre Billing Checklist
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- Pre-Billing Checklist
- Key Components of the Checklist
- Order Validation
- Medical Necessity & Documentation Compliance
- Competitive Bidding & Supplier Compliance (if applicable)
- Pre-Delivery & Billing Verification
- Proof of Delivery & Refill Requirements
- Compliance with Medicare Guidelines
- Quiz: Pre-Billing Checklist
Module 4 Risk Management - Patient Claim Development
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Module 4 Risk Management - Provider Responsibilities - Fraud Waste and Abuse
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Module 4 Risk Management - Provider Responsibilities -Incident Reporting
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- CMS & Accreditation Organization Regulations on Incident Reporting
- Incident Report Supporting Documentation
- CMS Regulations on Incident Reporting
- Mandatory Reporting of Serious Incident
- Incident Investigation & Root Cause Analysis
- Incident Reporting System & Record Retention
- Reporting to CMS & State Agencies
- Accreditation Organization Requirements on Incident Reporting
- BOC (Board of Certification/Accreditation) Standards
- The Joint Commission (TJC) Standards
- Consequences of Non-Compliance with Incident Reporting Regulations
- Best Practices for CMS & Accreditation-Compliant Incident Reporting
- Quiz: CMS & Accreditation Organization Regulations on Incident Reporting
Module 4 Risk Management - Provider Responsibilities - Annual Performance Improvement Reporting
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after you enroll
- DMEPOS Annual Performance Improvement Report
- Key Components of the Report
- Performance Measures (Ongoing Monitoring)
- DME Quality Review Numbers (Quality Assurance Checks)
- Patient Rights & Responsibilities / Patient Surveys (Patient Feedback Mechanism)
- Patient Abuse Reports / Patient Complaints & Grievances (Risk & Compliance Monitoring)
- Board of Directors (BOD) Meetings (Governance & Compliance Oversight)
- Importance of the Annual Performance Improvement Report
Module 4 Risk Management - Provider Responsibilities - Risk Management Activities
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after you enroll
- Introduction to Risk Management Activities
- Billing & Coding Error Logs
- Emergency Drills & Fire Drills
- Facility Safety Inspections
- Hazard Vulnerability Analysis (HVA)
- HIPAA Assessments
- In-Service Training for Staff
- OSHA Assessment
- Patient Experience Surveys
- The Joint Commission - Root Cause Analysis (RCA) – Required for Sentinel Events
- Quiz: CMS Risk Management & Compliance
Module 5 Patient Outcomes - Building DME to Healthcare Provider Relationships
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- Building Local Provider Relationships as a DME Provider
- Home Health Agencies (HHA) (2:07)
- Assisted Living Facilities (3:29)
- Skilled Nursing Facilities (SNFs) (5:49)
- Hospitals
- Clinic Groups
- Hospice Providers (13:24)
- Air Pressure Mattress and Low Air Loss Systems (2:07)
- Wheelchair Campaign
- Leveraging These Relationships for Business Growth
Module 5 Patient Outcomes - Best Marketing Practices
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Module 5 Patient Outcomes - Third Party Marketing Compliance
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Module 5 Patient Outcomes - Know Your Equipment - In Service Training
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Module 5 Patient Outcomes - AIDET Method - Acknowledge - Introduce - Duration - Explanation
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Module 5 Patient Outcomes - Establishing A Solid Patient Workflow
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Module 5 Patient Outcomes - Handling Complaints and Grievances
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Module 5 Patient Outcomes - Patient Experience Surveys
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Module 6 QPI Healthcare Services
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Knowledge Base
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after you enroll
- CMS Program Integrity Manual 2025
- CMS Quality Standards Manual 2025
- CMS Thirty Supplier Standards Long Version
- DME Jurisdiction C Winter 2025 Supplier Manual
- DMEPOS Fee Schedule Jan 2025
- Medicaid Fraud Control Units Fiscal Year 2023 Annual Report
- New Supplier Training Checklist
- Online Resources with Links
- Pricing, Data, Analysis and Coding (PDAC) Video - Noridian
- Provider Enrollment, Chain and Ownership System (PECOS)
- The Structure of Medicare
- Fee Schedule Payment Categories
- Paperwork Documentation Supporting Claims (PWK)
- Place of Service
- Local Coverage Determinations
- Non Covered DMEPOS Items
- Common Data Interchange (CEDI)
- Medicare Learning Network (MLN) Products
- Noridian Medicare Portal - Eligibility
- Incident Report
- Facility Safety Inspection Form
- Fire Drill Report
- Hazard Vulnerability Analysis
- In Service Training Form
- HIPAA Assessment
- Patient Experience Survey
- TJC Sentinel Event Policy
- Manual Wheelchair Campaign
- Manual Wheelchair Campaign ALCO-EP3
- Manual Wheelchair Campaign - Medco Wheelchair Washer Equipment
- Manual Wheelchair Campaign - Medco Wheelchair Washer System
- Manual Wheelchair Campaign - Wheelchair Options Accessories LCD and PA
- Manual Wheelchair Campaign - Wheelchair Safety & Maintenance Guidelines & Checklist
- Manual Wheelchair Campaign - Wheelchair Manual Refurbchecklist
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