The key to fail-proof DME billing services lies in In-depth knowledge of DME billing guidelines. MedBillingExperts, has a team of experienced professionals with complete understanding of the complications involved in filing DME claims. We leverage their in-depth knowledge to streamline DME billing process and guarantee you maximum reimbursements in shortest possible times.
Billing DME claims require adherence to a strict quality framework. The constant change in regulations in DME billing requirements require constant upskilling of coding team. Our team of experts stay updated with changing requirements toensure accurate DME billing submissions. They also assist you document practices in keeping with the guidelines mandated by Medicaid and Medicare. Our streamlines practice has assisted our clients achieve 97% clean claims on first submission.
Collate invoices and other critical transaction documents for analysis. Documentation is made to clearly establish medical necessity of a particular equipment
Get insurance carriers inspect patients’ DME requirements and confirm coverage for the same. This is done prior to patients getting the prescribed DME devices
Assign the right HCPCS Level II codes for billing DME claims. Review the equipment codes to ensure it is correct and provide necessary paperwork to insurers
Do continuous follow-up with insurers to know the status of claims reimbursements and ensure those are fully paid on time
Our team of DME billing experts gather all the necessary information pertaining to Durable Medical Equipment from providers. They enter the data with high accuracy into a database to ensure that mistakes are not made during the billing process. This data is meticulously collected and held in our database for effortless retrieval and error-free billing. Our experts go to great lengths to ensure that all the relevant data has been entered with precision to speed up claims processing. This drives an efficient and seamless billing process.
We have industry expertise in billing DME claims. We bank on this expertise to provide extreme scalability and flexibility in filing claims. Each carrier has their own specific billing requirements. We re-order claims documents and invoices according to the insurance carrier’s preferences. After we ensure that the documents have been thoroughly completed, we file the claims electronically in the format advised by the insurer.
We make DME process in medical billing more precise by sending statements via mail based upon unique specifications of practices or facilities. Our experts dispatch routine statements that are accurate and concise. We ensure that these statements are of high quality, so that all errors are identified and corrected prior to being dispatched.
After we receive payments and explanations from clients, our team posts every minute details in our databases. They conduct stringent EOB audits to ensure correct data correctness. This has a direct bearing on claim reimbursements. After ensuring that all the data is accurate and error-free, we proceed to update the values in the database for record-keeping purposes. We also communicate the details contained in the EOB to you. This is done to ensure that the reimbursed amount matches the ones on record for final settlement.
In case of faulty payments or denials from insurance companies, we file appeals and ensure that the correct reimbursement is received by your practice. Our DME billing services experts help you with effective denial management. They will help you to navigate payment discrepancies that are difficult to resolve without detailed knowledge of carrier-specific claims guidelines. In cases where you are denied payment or found severely underpaid due to non-compliance, we find, and fix the flaw. Then we file an appeal to ensure that you are adequately reimbursed.
We customize and generate reports on a daily, weekly, or monthly basis, as per the requirements of the practice. Our reports help you better understand the DME billing services. These reports come complete with detailed descriptions as well as an analysis of your practice’s overall financial performance. You can generate reports based on simple parameters by using the relevant filters.
As an ISMS certified organization, we take strict measures while transacting data. We use encrypted servers, VPN, secured FTP,and cloud networks protectedby firewalls to prevent data exposure
We are home to certified experts. Our experts have in-depth understanding and experience in billing DME claims with DSM-5, ICD-10, and ICD-11 coding conventions
Our team of experts are backed up by the most advanced DME billing software. We customize our technologies to fit into your business requirements within a short span of time
We enable a 24/7 access to all your billing records via the Internet. This helps you to have tighter control on every record every time
We file all your DME claims electronically to avoid unnecessary paperwork. This enables us to facilitate safer, more accurate, and faster claims filing
Our team of DME billing experts handle claim preparation for secondary insurance claims that do not crossover automatically
Our team of experienced coders regularly audit transcriptions of lab reports and physicians’ notes. Qualified auditors constantly screen HCPCS, CPT-4, and ICD-10-CM coding in claim documents
Our clients share documents digitally which we scan, index, and classify in digital formats. This ensures safe document handling and anytime access to documents
We have a team of DME auditors who audit every DME files to ensure it is compliant with DME regulatory obligations
"Every year we were letting go of a major chunk of our revenue because of our in-house team’s inability to tackle several complexities related to billing DME claims. Certain insurers had reservations against covering a set of DMEs while Medicaid and Medicare had their own limitations of paying for valuable DMEs. Several complexities related to insurers’ reservations. Our team had to juggle with regular administrative work and the increasingly complex DME process in medical billing. After a lot of speculations, we decided to partner with MedBillingExperts and that was perhaps the best business decisions we have ever taken till date. The team had turned around our revenue cycle with their touch of expertise. It has been 4 years and our partnership with MedBillingExperts is still going strong. Thank you, team!!"
"We are a start-up DME services provider with limited staff. We did not want to miss out on any opportunity of getting paid for our services. Knowing the general complexities of DME billing services, we decided to outsource this function to MedBillingExperts. The team had taken end-to-end responsibility of the entire with much intervention from our side. We are thoroughly impressed by their proactivity in terms of aligning their process flow with the regular coding changes and legal obligations. Their sense of extreme professionalism by keeping us at the top of all the financial records every week. We could not have asked for more. You are doing an amazing job."
Improper coding was negatively impacting our client’s revenue generation. We dedicated a coding team to assist the client witness a revenue collection growth from 53% to 61%. Read this case study for more details.
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