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DME Billing Services

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Experience improved cash flow with
professional DME Billing Services.

Get a free quote today!

DME Billing Services

divider

Experience improved cash flow with professional
DME Billing Services.

Get a free quote today!
DME Billing Services

DME Billing Services

Experience improved cash flow with
professional DME Billing Services.

DME Billing Services

Due to the constantly changing regulatory compliance requirements, the durable medical equipment billing industry is constantly evolving. Keeping up with these changes can be a major challenge, leading many DME companies to consider outsourcing their billing services. Challenges such as reduced collections, billing errors, the high cost of training new billing staff, and disruptions to operations due to staff unavailability are common concerns for medical equipment providers.

If these issues are not addressed, they can accumulate and result in decreased productivity and revenue. If you are facing these challenges, outsourcing your DME billing services to us is the most reliable option to maintain focus on your core competencies. We work tirelessly to ensure higher reimbursements and improved cash flow, providing round-the-clock support for your business.

What is (DME) Durable Medical Equipment?

Durable Medical Equipment (DME) refers to therapeutic equipment that is prescribed by licensed physicians to patients with specific medical conditions or illnesses. DME billing does not include equipment used for convenience purposes or beyond what is medically necessary for a patient. Examples of DME include nebulizers, ventilators, and kidney machines, among others. It is primarily designed to provide therapeutic benefits to individuals with long-term medical conditions and is typically intended for home use. DME is built to be highly durable and capable of extended operation.

Ensures Accurate Coding & Billing
Procedures To Optimize Reimbursement

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What is the DME Code?

The DME Code, or Durable Medical Equipment Code, is a customized coding system used by pricing, data analysts, and coding (PDAC) specialists in the field of durable medical equipment. It serves as a directory of codes specific to DME services, allowing distributors and suppliers to effectively manage and track billed services for faster claims processing. However, it’s important to note that the DME Code system is not a replacement for the Healthcare Common Procedure Coding System (HCPCS) releases.

For example, the DME equivalent of the HCPCS code for CPAP is E0601. Various modifiers can be applied to this code to provide additional information:

+   RR: Indicates rental services.
+   KH: Denotes first-month rental and initial claim.
+   KX: Requires documentation to support the medical necessity of the service.

In summary, the DME Code is a specialized coding system specifically designed for durable medical equipment services, facilitating efficient billing and claims processing.

What is (DME) Durable Medical Equipment Billing Services?​

A DME billing service is a service that handles the billing process for durable medical equipment (DME) providers. Once the invoice has been coded, the service compiles the necessary documents and records to submit electronic claims. However, it is essential to ensure that the documentation is complete and accurate before submission. Failure to include all required documents and adhere to regulations can lead to payment delays or denials. Our billing company focuses on ensuring high-quality documentation to generate clean claims, minimize the days sales outstanding (DSO), and reduce claim denials.

DME Billing Service We Offer

We provide comprehensive DME (Durable Medical Equipment) billing services to address the challenges posed by lower reimbursements and costly equipment. To effectively manage revenue cycles, we prioritize quality control measures to minimize issues. Our services include:

Pre-authorization

Data Capture

Our trained professionals work closely with healthcare providers to ensure accurate and complete information for insurance claims. We securely collect and analyze privacy-compliant data, storing it in our database for error-free billing and easy retrieval.

Pre-authorization

Data Capture

Our trained professionals work closely with healthcare providers to ensure accurate and complete information for insurance claims. We securely collect and analyze privacy-compliant data, storing it in our database for error-free billing and easy retrieval.

Medical Billing and Coding

Practice Statements

We meticulously review practice and facility statements, ensuring accuracy before delivering them via email to avoid errors.

Medical Billing and Coding

Practice Statements

We meticulously review practice and facility statements, ensuring accuracy before delivering them via email to avoid errors.

Denial-Management

Denial Management

Resolving payment discrepancies requires expert knowledge of carrier-specific claims guidelines. If you receive lower reimbursements or face denials due to non-compliance, our services will help rectify the issues and file appeals to ensure proper reimbursement without further complications.

Denial-Management

Denial Management

Resolving payment discrepancies requires expert knowledge of carrier-specific claims guidelines. If you receive lower reimbursements or face denials due to non-compliance, our services will help rectify the issues and file appeals to ensure proper reimbursement without further complications.

claim_submission

Claims Filing Assistance

We understand that claims filing is a critical step for efficient processing. We arrange invoices and claim documents according to each insurance carrier's preferences, as they may have unique standards. By ensuring document completeness, we electronically file claims in the recommended format of your insurer.

claim_submission

Claims Filing Assistance

We understand that claims filing is a critical step for efficient processing. We arrange invoices and claim documents according to each insurance carrier's preferences, as they may have unique standards. By ensuring document completeness, we electronically file claims in the recommended format of your insurer.

Reporting-and-Analytics

Custom Report Development

We generate customized reports based on your practice's needs, providing insights into DME billing services and financial performance. Our user-friendly interface allows you to select relevant filters for quick and efficient report retrieval.

Reporting-and-Analytics

Custom Report Development

We generate customized reports based on your practice's needs, providing insights into DME billing services and financial performance. Our user-friendly interface allows you to select relevant filters for quick and efficient report retrieval.

payment_posting

Payment Posting and Auditing

We thoroughly review all client payments and explanations, ensuring accuracy before updating our database for record-keeping purposes. We also provide you with the Explanation of Benefits (EOB) for comparison and reconciliation with your records.

payment_posting

Payment Posting and Auditing

We thoroughly review all client payments and explanations, ensuring accuracy before updating our database for record-keeping purposes. We also provide you with the Explanation of Benefits (EOB) for comparison and reconciliation with your records.

account-receivable

Fee Schedule Update

Our team collaborates with insurance companies to establish and regularly update fee schedules. Considering factors like annual inflation and the median cost of living, we negotiate fee schedules on your behalf. We also follow up on aging reports to ensure timely responses from insurance companies.

account-receivable

Fee Schedule Update

Our team collaborates with insurance companies to establish and regularly update fee schedules. Considering factors like annual inflation and the median cost of living, we negotiate fee schedules on your behalf. We also follow up on aging reports to ensure timely responses from insurance companies.

In summary, our DME medical billing services encompass data capture, practice statement verification, denial management, claims filing assistance, custom report development, payment posting and auditing, and fee schedule updates.

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Our DME Billing Process

We follow a clear and verifiable process for our DME billing solutions. Here is a breakdown of the steps we take:

Medical-Claims

Document Collection

Once you outsource your DME billing services to us, we gather all relevant invoices and transaction records for thorough analysis.

Medical-Claims

Document Collection

Once you outsource your DME billing services to us, we gather all relevant invoices and transaction records for thorough analysis.

Data-Verification-and-Validation

Eligibility Verification

We work closely with providers and insurers to verify the eligibility of your clients for claims and determine their coverage benefits.

Data-Verification-and-Validation

Eligibility Verification

We work closely with providers and insurers to verify the eligibility of your clients for claims and determine their coverage benefits.

Coding-and-Billing

Customized Billing and Patient Statements

Our team codes the invoices and transaction records to ensure they are accurately documented and easily managed. We compile our observations and analytics data into reports and provide timely statements.

Coding-and-Billing

Customized Billing and Patient Statements

Our team codes the invoices and transaction records to ensure they are accurately documented and easily managed. We compile our observations and analytics data into reports and provide timely statements.

Claims-Transmission

Electronic Claims Filing

After ensuring the accuracy and completeness of the records, we submit the files and documents in the required digital format to your insurance provider.

Claims-Transmission

Electronic Claims Filing

After ensuring the accuracy and completeness of the records, we submit the files and documents in the required digital format to your insurance provider.

Follow-up-and-Settlement

Claims Follow-up

We regularly follow up with the insurer to check the status of the submitted claims. This proactive approach helps expedite the processing of claims.

Follow-up-and-Settlement

Claims Follow-up

We regularly follow up with the insurer to check the status of the submitted claims. This proactive approach helps expedite the processing of claims.

Initial-Consultation

24/7 Service Support

Once the insurer releases the payment, we capture and post it into your account for reconciliation. If there are any payment discrepancies, we provide denial management support.

Initial-Consultation

24/7 Service Support

Once the insurer releases the payment, we capture and post it into your account for reconciliation. If there are any payment discrepancies, we provide denial management support.

By following these steps, we ensure efficient and effective DME billing services for our clients.

Why Choose Pro Medical Billing Solutions for DME Billing Services?

Are you tired of dealing with the complexities and challenges of DME billing? Look no further! Choosing Pro Medical Billing Solutions as your DME billing service provider offers numerous advantages and benefits. Here are some compelling reasons to select us:

We offer flexible pricing options that are tailored to meet the specific needs of our clients. This means that you only pay for the services you require, making our services more affordable and cost-effective.

We take data security very seriously and have strict protocols in place to ensure the confidentiality and safety of your data. We use secure FTP servers, and our employees are only given restricted access to your files and folders. We are an ISO certified company, so you can be assured that your information is always in safe hands.

As a HIPAA compliant company and ISO: 9001: 2015 certified, we are committed to following the highest compliance standards in the industry. Our team of experts is well trained and follows Medicaid and Medicare regulations, and we use standard coding systems such as CPT, HCPCS, and ICD-10 to ensure accurate coding.

Our auditing processes and compliance with high-quality standards and regulations ensure that we deliver uncompromised DME billing services to our clients. We continuously review and improve our systems, technologies, and infrastructure to ensure that we provide the best possible services.

We assign a dedicated project manager to each client, ensuring that they have a single point of contact throughout the billing process. This helps to eliminate any confusion and ambiguity when updating our clients about the status of their claims and settlements and answering their queries.

Our team of customer care executives is available 24/7 to assist clients with any queries or questions they may have regarding our services. We operate across different time zones, ensuring that we are available whenever you need us.

We understand that the needs of our clients may change over time, and we are fully equipped to handle any scale-up requirements. Our manpower and technology can be upscaled at any point based on the client's requirements, ensuring that we can meet their evolving needs.

Outsource DME Billing Needs To Pro Medical billing Solutions

At Pro Medical Billing Solutions, we are recognized for our expertise in medical billing and coding services. By utilizing our services, you can experience the following advantages:

+   Reduced number of claim denials
+   Accelerated claims processing
+   Decreased turnaround times and costs

Please share your specific requirements, providing as much detail as possible. Within 24 hours, we will deliver a complimentary, personalized quote tailored to your needs. Get in touch with us.

Specialties We Serve

Our Solutions

Our advanced Infrastructure and Strategies are designed to determine Issues in your Revenue Cycle Management and improve them with precisely streamlined processes. We recognize that healthcare providers face a variety of challenges, including missed charges, under pricing, non-reimbursed errors, coding errors, and more, which can lead to significant revenue loss each year.

Therefore, we have designed our Medical Billing & Coding Services as well as Physician Credentialing to prevent any discrepancies and provide accurate deliverables, ultimately helping healthcare providers achieve optimal Revenue generation

Medical-Billing-Coding

Medical Billing & Coding Services

Credentialing-Contracting.

Physicians Credentialing Services

Revenue-Cycle-Management

Revenue Cycle Management

Ar-Denial-Management

AR & Denial Management Services

Medical-Billing-Coding-Audit.

Medical Billing and Coding Audit

Verification-Prior-Authorization-Services

Verification & Prior Authorization

Ambulatory-Surgical-Center-Billing

Ambulatory Surgical Center Billing

Contact-Center-Patient-Scheduling-Management

Contact Center & Patient Scheduling

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Medical Billing Software We Leverage for Revenue Cycle Management

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