DME Billing
Durable Medical Equipment (DME) is any piece of equipment that offers therapeutic benefits to patients that is suffering from particular medical conditions and/or ailments. DME is medically essential, and requires a prescription, and must be approved prior to the time, before it can be covered. This means that DME billing is quite complicated and different than other forms in medical billing as well as Coding. It requires expert, thorough understanding of the entire set of HCPCS levels II codes as well as the general DME reimbursement procedure.
The complexity of this kind of billing presents an issue. With the increasing use of costly medical equipment or DME that is rented instead of bought, coders and billers must be aware of the following:
- How do you claim claims using code (depending on the rental or. the purchase);
- The bill’s requirements; and When should you send claims to ensure prompt and accurate reimbursement.
Our DME Billing Services
Our billers and coders has extensive experience and know-how in managing your DME claims efficiently. We are experts in the field and can set your company up for success right at the beginning in the Revenue Cycle. We offer DME billing services comprise:
Eligibility Verification & Prior Authorization
Patient Demographics Entry
Order Entry
HCPCS Level II Coding & Modifiers
Claims Submission
Payment Posting
Accounts Receivable & Denial Management
Credit Balance Resolution