DME Billing Services

DME billing involves the complex process of submitting claims for durable medical equipment. It's specialized because it requires specific knowledge of HCPCS codes, medical necessity documentation, proof of delivery requirements, and understanding of different payer policies for various equipment types.

We stay current with all Medicare DME billing regulations, including documentation requirements, coding changes, and coverage policies. Our team ensures compliance with Medicare's strict standards, properly handles Advance Beneficiary Notices (ABNs), and manages the complex documentation needed for Medicare DME claims.

Typical documentation includes physician prescriptions, detailed written orders, proof of delivery, medical records supporting medical necessity, home assessments when required, and beneficiary authorizations. Requirements vary by equipment type and payer.

We have a systematic approach to denial management that includes identifying denial reasons, correcting errors, gathering additional documentation when needed, and submitting timely appeals. Our team tracks denial trends to prevent future issues.

Yes, we have expertise in billing for both purchase and rental arrangements, including understanding the different billing requirements, modifiers, and documentation needed for each type of transaction according to payer guidelines.

Contact us for a complimentary practice assessment. We'll review your current billing processes, identify areas for improvement, and develop a customized implementation plan to transition your DME billing to our experts seamlessly.