Because of the constantly shifting regulatory compliance landscape, the billing business for durable medical equipment is experiencing constant renovation. Most DME organisations turn to outsourcing durable medical equipment billing services because it can be difficult to keep up with the constantly changing DME billing landscape. Medical equipment suppliers deal with a number of issues, including declining collections, billing problems, the expense of training new employees for billing duties, and operations that are halted due to staff absences.All current issues have the potential to worsen if they are ignored, which would reduce output and income. To maintain concentrate on your key strengths, outsourcing DME billing services to us is the safest option if these difficulties are causing you any trouble. We put in endless effort to improve your cash flow and get you larger reimbursements.

What is DME Code ?

The durable medical equipment coding system (DMECS) is customised by our pricing, data analysts, and coding (PDAC) specialists. Every code used in DME services is listed in this system. To expedite the processing of claims, distributors and suppliers benefit from having an effective system in place for monitoring billed services. It’s crucial to remember that DMECS releases cannot be substituted for HCPCS releases. HCPCS code E0601 is an example of the DME equivalent of the HCPCS code for CPAP.

The modifier for this code is –

  • RR – rental
  • KH – first-month rental, and Initial claim
  • KX – documentation to support medical necessity

DME Medical Billing Services

Data Capture

Our objective is to completely eradicate both fatal and non-fatal document errors, thus we assign qualified experts to collaborate closely with suppliers. Our billing specialists will carefully work with your team to get data that insurance companies need. We carefully gather and examine the data that complies with privacy regulations on your end. Our database safely stores this information for simple retrieval and error-free billing.

Practice Statements

We summarise the practise and facility in our routine statements, which are clear and precise. Before emailing the document, we review statements for accuracy.

Claims Filing Assistance

Claims filing is sometimes disregarded as a simple procedure requiring only the completion of forms. Conversely, it's an important step that speeds up the processing of claims. Because each insurance company has a different protocol when it comes to collecting papers from the person initiating a claim, we rearrange invoices and claim documents in accordance with their wishes. Once the digital and physical papers are verified to be full, we electronically submit claims using the format your insurer has advised.

Denial Management

Without professional assistance and familiarity with carrier-specific claims procedures, it can be difficult to reconcile payment disparities. Our DME medical billing services will assist you in the event that the reimbursement value falls short of your expectations. We address the error and file an appeal if you are underpaid or refused payment entirely because of non-compliance, ensuring that you receive your full reimbursement without having to go through any more hardship.

Custom Report Development

Depending on the needs of your practise, we can provide customised reports every day, every week, or every month. Our reports can include information on the DME billing services your clients have used, together with a financial performance analysis of your practise. Thanks to our reporting services' user-friendly interface (UI), which allows you to select pertinent filters, you may maximise productivity while on the go. Custom parameters can be used to construct the reports, enabling speedy retrieval.

Update Fee Schedule

We work together with insurance providers to establish and periodically revise price schedules. Our team takes the median cost of living and annual inflation into account when negotiating fee schedules with insurance companies. Furthermore, we monitor ageing reports by regular follow-ups. After submission, we maintain contact with insurance providers to guarantee a prompt response.

Medical Billing Process We Follow

  • 1. Patient Registration and Requirement Gathering

    After assigning projects, we assemble a group of coding experts that collect clinical information from your end. For convenient access both during and after the project, we collect and organise the data in EHR.

  • 2. Pre-authorization and Finding Eligibility

    In order to confirm patient preauthorization, we check with insurance. We also perform a patient eligibility check to make sure that all insurance requirements are met.

  • 3. Medical Coding

    Our medical coders will convert your clinical data into ICD, CPT, and HCPCS medical codes using HIPAA-compliant techniques; these codes will be audited before reimbursement to guarantee compliance.

  • 4. Medical Billing

    We compile the result into the suggested format acceptable by insurers after coding clinical data.

  • 5. Quality Assurance

    We confirm that the billed data is accurate and follow regulatory compliance before sending data to insurers over a secure connection.

  • 6. AR Follow and Analyzing Denials

    When claims are rejected or denied, our team takes the required action to fix the problem and guarantee prompt payment. In order to pinpoint areas where the billing procedure needs to be improved, we also examine the causes of the denials.

  • 7. Reporting

    To properly assess incoming cash flow, we analyse your electronic health records (EHR) and deliver important reports and insights. A thorough Explanation of Benefits (EOB) statement is included.

Why Choose us ?

  • Skilled Professionals

    We are never short of the greatest minds in the business who are familiar with the ICD, HCPCS, and CPT coding systems thanks to our AAPC-certified billing specialists. We meticulously handle billing to ensure bigger payouts.

  • Affordable Prices

    By using our medical billing service, you can save over 50% on costs since we adhere to an easy-to-understand price system that guarantees you obtain a suitable solution that fits your budget.

  • 24/7 Availability

    Receive 24/7 support through phone call, email, or chat at no additional cost. At the time that is most convenient for you, one of our agents will help you.

  • Advance Infrastructure

    The most cutting-edge billing technologies available are all stored in our state-of-the-art infrastructure and support our expertise. Our knowledge centres are made with security and quick service as their top priorities.

  • Quick Turnaround

    We systematically arrange every claim submission so that insurance can handle it right away. By outsourcing your cardiology medical bills to us, you can experience a turnaround time that is up to 35% faster.

  • 100% Accuracy

    If you submit your claim initially, it will be 98% clean. We guarantee that you won’t have to deal with the headache of a claim being denied because of our error-free and accurate invoicing processes.