DME Billing Services

Experience improved cash flow with
professional DME Billing Services.

DME Billing Services

Experience improved cash flow with professional DME Billing Services.

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.

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:


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.


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.


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.


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 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.


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.

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:


Document Collection

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


Eligibility Verification

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


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.


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 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.


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.

For Expert DME Billing Services? Get in touch with us today

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 Gastroenterology 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.

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

We're here to help

24/7 – Let’s have a call with someone Executive next 30 minutes – No more away!!!

Here are the top specialties, We are helping healthcare physicians throughout the United States to address their Medical Billing challenges.

Our team comprises of extremely skilled and well-experienced Medical Billing and Coding professionals who are capable of handling any type of Billing requests – Being an ISO certified organization, you can rest assured that all the Medical Billing & Coding Services delivered by our team will be of the best quality and error-free.

If you are searching for a dependable Medical Billing Company - You've found it - Contact us today to learn more about Our services!

Our Solutions

- Medical Clinic Setup

- CAQH Registration

- CLIA Setup


- Software Setup

- PECOS Registration

- Contracts Renegotiation

- Credentialing

- Re-Credentialing

- Hospital Re-Appointments

Medical Billing Software We Leverage for Revenue Cycle Management

Here are some Industry top listed EHR being operates by Us.

Our Valued Clients


With Pro Medical Billing Solutions our transition from one E.H.R to another was easy. They are extremely responsive and answer all my inquiries immediately. Reimbursement ratio is at all time high since we became partners. The billing staff is knowledgeable and available whenever needed.

Sam Carr - MD Olympic RCM

Being working with Management of Pro Medical billing solutions for almost last 8 years, I am immensely satisfied with their RCM services and updated knowledge of any changes in guidelines. Their positive and professional work attitude and timely reporting had increased our practice collection...

David Feeback - CFO Colorado Health and Providers

Appreciation for you guys. You all have made a life here smoother than I could have imagined! Your response times are impressive! Your staff is Awesome! You all have been the best, outsourced billing company I’ve worked with.

Nell Sampson - Practice Admin G&A Wellness Clinic

Our collections have remained incredible from the last 15 months , our first pass rates increased and our PC% are above industry standards. You Guys are highly responsive, I would recommend Pro Medical Billing Solutions for any practice wanting to take control of their revenue cycle. We simply don’t worry about collections.

Dr. Mukherjee Ranadev - MD CO-FOUNDER Digestive Associates

We are happy that we found Pro Medical Billing Solutions which is the right billing service Solution. Our revenues since switching have improved and we appreciate them. Professional and loyal team, always available for help.

Maria Balderaz - Practice Administrator Alliance Risk Group

Extremely you guys are doing an amazing effort getting our revenue up and cash flow is getting better than before! Thank you for your wonderful effort. Thumbs-up to you and your team.

Dr. Jorge Guevara - MD Outcomes Detox & Recovery Center

This is our third year with Pro Medical Billing Solutions, before we had a bad experience with some billing companies. Pro Medical Billing Solutions have talented young people and professionals who run our business with great ease.

Dr. Charles Sisson Integrated Medical Consultants

I am very satisfied with the service of Pro Medical Billing Solutions. The team's responses are very quick to my emails and questions. Our repayment rate is very healthy. We receive our weekly and monthly reports on time. The team always highlights problems with solutions.

Steffhanie Laurel Director of Operations (Colorado Clinic)
    0 +

    Years of Experience


    Satisfied Providers

    0 +


    0 +


    0 +


    0 +


    0 +

    Demo Entries

    0 +

    Payment Posting

    Let's  Outsource Medical Billing Services To Us

    Our specialized back-office team takes care of the critical aspects of your Revenue Cycle Management, including claims submission, A/R follow-ups, and 24/7 support. We specialize in these tasks, so you can focus on delivering quality patient care without worrying about the complexities of Medical Billing.

    Increase your Revenue Upto 30 % Are you looking for free Medical Billing trial for some free days ?

    Financial Meeting
    0 +

    Years of Experience


    Satisfied Providers

    0 +


    0 +


    0 +


    0 +


    0 +

    Demo Entries

    0 +

    Payment Posting

    Thousands of providers growing their practice with PROMBS

    "Now It's Your Turn"!


    Head Office - Houston

    5450 Northwest Central Dr Ste 120

    Houston, TX 77092, United States.

    Colorado Office

    1600 Broadway, STE. 1600, Denver

    CO 80202, United States.

    Nevada Office

    401 Ryland St suite 200-A, Reno

    NV 89502, United States.