DME contracts are your most negotiable asset.
Most DME suppliers know their Medicare rate. Few know their commercial payer rate. None know what their commercial peers in the same state are paid for the same HCPCS. PracticeOS does. Every quarter. Every payer. Every code in your catalog.
Six modules. HCPCS-native. MAC-aware.
Tuned for DME economics: catalog-level rate work, MAC fee-schedule tracking, payer realignment briefs — not encounter-based.
What the gap actually looks like.
Every figure below is documented from public Transparency-in-Coverage rate files against locality peer benchmarks. Actual recovery depends on payer response, contract terms, documentation, and negotiation outcome.
UHC commercial rate at 68% of locality median across 3 states. Realignment brief drafted citing UHC's published TiC filing. Volume-weighted gap on E0601 alone.
Full-catalog audit across 6 commercial payers and 3 states. 14 HCPCS lines below locality mid. Renewal pipeline opened for next quarter.
Aggregate documented opportunity across mobility, respiratory, and diabetes supplies. Per-payer dashboards delivered. Six renewal briefs auto-drafted Q4.
Your Medicare rate is fixed. Your commercial rate is a decision.
We will pull live commercial rate data on your five highest-volume HCPCS codes across your top three payers and walk you through the findings in fifteen minutes. No commitment.