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Durable Medical Equipment (DME)

DME Billing Service

Once the invoice has been coded, it's essential to gather all relevant documents and records for electronic claims submission. Prior to submission, verifying the completeness and accuracy of the documentation is critical. Incomplete documents and issues with compliance can lead to delays or denials in payment. Our billing company prioritizes high-quality documentation to facilitate clean claims, ultimately reducing days sales outstanding (DSO) and minimizing denials.

DME Medical Billing Services We Offer

Reduced reimbursements can negatively impact revenue cycle management, particularly given the high costs associated with durable medical equipment. Without significant improvements in quality control, these issues are likely to persist. We carefully review policy compliance to ensure that claims are complete and accurate, minimizing the risk of audits. Our team diligently identifies discrepancies and addresses any outstanding errors. As part of our DME billing solutions, we provide the following services:

Data Capture

To reduce both critical and non-critical document errors, we employ trained professionals who work closely with providers. Our billing experts collaborate with your team to gather the necessary information for insurance companies.We carefully collect and analyze privacy-compliant data from your organization, which is securely stored in our database for easy access and accurate billing.

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Practice Statements

We send regular statements that are clear and precise, summarizing both the practice and facility. Each statement is carefully reviewed for errors before being emailed to ensure accuracy. Each statement is detailed and provides a complete overview of the billing process.

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Denial Management

Resolving payment discrepancies can be challenging without expert assistance and an understanding of carrier-specific claims guidelines. If you find that the reimbursed amount falls short of your expectations, our DME medical billing services are here to help.In cases of underpayment or outright denial due to non-compliance, we will identify and correct the issue, filing an appeal to ensure you receive the proper reimbursement without additional hassle.

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Claims Filing Assistance

Claims filing is frequently underestimated as a simple task that merely involves filling out forms. However, it plays a vital role in expediting claims processing. We organize invoices and claim documents according to each insurance carrier's specific requirements, as each one has its own standards for accepting submissions. After verifying the completeness of both digital and paper documents, we file claims electronically in the format preferred by your insurer.

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Custom Report Development

We create tailored reports on a daily, weekly, or monthly basis to meet your practice's needs. Our reports provide insights into the DME billing services utilized by your clients, complete with descriptions and analyses of your practice's financial performance. With our reporting services, you can enhance productivity on the go, utilizing a user-friendly interface that allows you to apply relevant filters.

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Payment Posting and Auditing

After collecting explanations and payments from your clients, we conduct a thorough review of all details to ensure accuracy. Once we confirm that the data is error-free and valid, we update our database for accurate record-keeping. We also provide you with the explanation of benefits (EOB) so you can compare and reconcile the reimbursed amounts with our records.

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Fee Schedule Update

We work closely with insurance companies to establish and regularly update fee schedules. Our team negotiates these schedules by taking into account annual inflation and median living Furthermore, we monitor aging reports through regular follow-ups. After submitting claims, we maintain communication with insurance companies to ensure a prompt turnaround.

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DME Billing Solutions Process We Follow 

As a dedicated DME billing company, we adhere to a distinct and transparent process that is
simple to verify. Here’s how we manage DME billing for our clients:

Sourcing Support Documents

When you outsource your DME billing services to us, we gather invoices and other essential transaction records for thorough analysis.

Eligibility Check

We work closely with providers and insurers to verify that your client is eligible for claims and their associated coverage benefits.

Customized Billing and Patient Statements

We code invoices and transaction records for efficient documentation, making them easy to retrieve and manage. Our insights and analytics are compiled into reports and timely statements.

Electronic Claims Filing

Once we confirm the accuracy and completeness of the records, we send the files and documents in the digital format required by your insurance provider.

Routine Follow-up on Claims

After submitting claims, we reach out to the insurer to check on the status of the submission. Regular follow-ups help expedite the processing time.

Round the Clock Service Support

Payments released by insurers are recorded and posted to your account for reconciliation. If there are any discrepancies in payment, we offer denial management support.

Why Are We The Preferred DME Billing Company? 

Here are several reasons to consider partnering with us:

1

Certified Billing Company

We are a HIPAA-compliant and ISO-certified company dedicated to taking the necessary risks and putting in the effort to transform your claims into reliable payments.

2

High Accuracy and Quality Service


When handling billing for your practice, we ensure that every aspect of the service is accurately billed, preventing both overbilling and underbilling, which can lead to claim denials. We meticulously double-check all files for accuracy and quality prior to submission.

3

Short Turnaround


Reduce your turnaround time by up to 50% by partnering with us, as our services are customized to meet your specific needs.

4

Scalability


Being prepared for changing challenges is the most effective way to ensure your billing service remains resilient. Our billing solutions are scalable and provide protection against unexpected changes in policies and procedures.

5

Single-point Contact


You don’t have to wait for updates from us anymore. Enjoy quick responses to facilitate faster decision-making. We assign a dedicated professional who operates in your time zone, ensuring prompt assistance whenever you need it.

6

Experienced and Certified Coding & Billing Experts


We recognize how crucial it is to have the right individuals handling coding and billing tasks. With 20 years of experience in advanced billing software, our coders and billers are well-versed in the ICD-10, ICD-11, and DSM-5 coding standards.

7

Modern Infrastructure


Our state-of-the-art infrastructure serves as the foundation for innovation. It supports our dedicated team along with tailored billing tools and resources.

8

Secure Data Sharing


Share your data more easily and securely when you partner with us, as we utilize VPN and secure FTP to protect your important project files during transit. With top-tier security measures in place, we ensure your valuable data remains safe from unauthorized access.

9

24/7 Remote Access to Financial Records


When you need access to all your billing records while on the move, we provide a convenient solution that allows you to stay updated on every record anytime, anywhere via the Internet.

10

Pocket-friendly Pricing


One of the key advantages of selecting our services is that you won’t have to break the bank. By opting for our cost-effective DME billing solution, you can save nearly 30% on your expenses.

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