Durable Medical Equipment (DME) is a type of therapeutic equipment that qualified physicians prescribe to individuals who have a specific medical condition or illness. DME billing does not cover equipment used for a patient’s convenience or beyond acceptable medical needs. Nebulizers, ventilators, kidney machines, and other long-lasting medical equipment are ideal examples. DME is primarily meant to provide therapeutic benefits to people suffering from chronic medical issues. It may or may not be beneficial to persons who are not afflicted. All DME is extremely durable and can be used for a lengthy period (mostly for home usage).
Following the coding of the invoice, the document’s catalog and records must be compiled for electronic claims submission. However, before submitting the material, ensure that it is complete and accurate. Missing paperwork and noncompliance are just two of the many reasons for payment delays or denials. A billing business like ours pays great attention to documentation quality to ensure clean claims and lower DSO and denials.
Lower reimbursements can be detrimental to revenue cycle management, especially when the cost of durable medical equipment is high. Unless we take drastic steps to improve quality control, the problems will continue. Medical Coder verifies policy compliance to ensure claim completeness and correctness to avoid audits. We look for inconsistencies and correct any that we find. As part of our DME medical billing services, we provide the following –
We assign skilled specialists to work closely with providers to prevent deadly and non-fatal document errors. Our billing specialists will work patiently with your team to gather information for insurance providers. We carefully collect and analyze your privacy-compliant data. This information is stored securely in our database for simple retrieval and error-free billing.
We send concise and accurate routine statements summarising the practice and facilities. Before sending the copy through email, we double-check the statements for inaccuracies.
Payment discrepancies are difficult to address without the assistance of an expert and an understanding of carrier-specific claims rules. If the reimbursed value is less than what you expected, our denial management service will assist you. If you are underpaid or refused payment entirely due to noncompliance, we repair the error and file an appeal to ensure you are properly compensated without further suffering.
Claims filing is frequently overlooked as a simple process requiring only the completion of forms. On the contrary, it is an important step that contributes to the speed with which claims are processed. We reorder invoices and claim documents according to the insurance carrier’s desire because each carrier has its own set of rules for collecting documents from the claims initiator. We file claims online in the format specified by your insurer after checking the completeness of the digital and paper documents.
Depending on your practice’s needs, we can provide personalized reports on a monthly, weekly, or daily basis. Our reports can provide information on DME services provided to your clients, as well as descriptions and analyses of your practice’s financial success. With our reporting services, you can boost productivity on the go owing to a simple user interface that allows you to select relevant filters. The reports can be produced using customized parameters to speed up retrieval.
When we get explanations and payments from your clients, we thoroughly verify each detail to ensure accuracy. We update the information in our database for record-keeping after verifying sure the data is accurate and legitimate. We also provide you with an explanation of benefits (EOB) so that the amount paid can be reviewed and reconciled with our data from your end.
We work with insurance carriers to create and maintain fee schedules. The Medical Coder team negotiates pricing schedules with insurance carriers while keeping annual inflation and the median cost of living in mind. Furthermore, we maintain track of aging reports by frequent follow-ups. We communicate with insurance providers following submission to ensure a timely response.
As a reputable DME medical billing firm, we adhere to a distinct phase in the process execution that is simple and easy to validate. Here is how we handle DME billing for our clients:
We collect invoices and other critical transaction records for analysis when we outsource DME billing services to Medical Coder.
Our combination of technology and medical billing experience gives you the peace of mind that comes from knowing your claims are submitted correctly and efficiently so it can lead to continuous cash flow. So, instead of focusing on the arduous task of cardiology medical billing and patient records, you can spend your time on the best quality healthcare services.
We work with providers and insurers to guarantee your client’s eligibility for claims and coverage benefits.
We code the invoice and transaction records so that they may be easily retrieved and managed. Our observations and analytics data are put into timely reports and statements.
We provide the files and documents in the digital format required by your insurance provider after checking the accuracy and completeness of the records.
We follow up with the insurer after filing claims to enquire about the status of claims submission. Following up regularly will result in speedier processing.
Insurance payments are collected and submitted to your account for reconciliation. In the event of a payment mismatch, we offer denial management assistance.
Billing responsibilities that are performed poorly might result in delayed payment or claim denials, which can be costly and resource-intensive to resolve. Most third-party DME billing organizations simply file claims without thought and are only concerned with growing their earnings. However, we always go above and above to ensure that the filing process is completed with proper rigor and thoroughness without risking payment loss. Here are some additional reasons why you should work with us:
We are a HIPAA-compliant and ISO-certified organization eager to take the risk and put in the work to turn your claims into promising payouts.
We are an ISMS-certified organization that employs strong (internal and external) safeguards to protect your data kept in our repository. Our cloud network is secure because it is guarded by firewalls to prevent unauthorized access and use.
We ensure that no component of the service is overbilled or underbilled when billing your practice because defective bills are prone to claims denial. We verify the files twice before submission to ensure their accuracy and quality.
By cooperating with us, you can save up to 50% of your time because our services are tailored to your specific needs. You receive nothing more in the way of unreasonable add-ons this way.
The best method to future-proof billing service is to be prepared for changing difficulties. Our billing systems are scalable, protecting unanticipated policy and process changes.
Our advanced infrastructure is a driving force behind innovation. Our infrastructure houses our committed personnel, as well as tailored billing tools and resources. We create speedier and more efficient solutions that will increase your revenue in no time.
We understand how critical it is to have the correct personnel in charge of coding and billing functions. Our coders and billers are qualified professionals with 8+ years of experience in complex billing software. They are familiar with the ICD-10, ICD-11, and DSM-5 coding rules.