Expert Durable Medical Equipment Billing Services
The DME billing industry is vast, with frequent inspections, audits, and constant changes. To keep up, it’s crucial to dedicate time and resources to developing an effective billing process. However, for doctors, it can be challenging to manage this while also taking care of patients.
Don’t worry, Pulse Medix is here to take off your burdens. We handle everything from gathering the necessary DME paperwork to following up on claims and managing accounts receivable. Our team of certified professional coders (CPC) and billers (CPB) make sure you get paid faster, minimize errors, reduce claims denials, and mitigate compliance risks.
Get in touch with us right away to discuss how we can help your practice grow!
Comprehensive DME Billing Outsourcing Solutions
-
Verification of Eligibility -
Prior Authorization -
Coding And Billing -
Claims Submission -
Follow-Up On Denied Or Rejected Claims -
Collection of Outstanding Balance -
Accurate And Timely Electronic Payment Posting -
Review And Audit of DME Claims
Ensuring Accurate and Efficient DME Billing Services
Pulse Medix has a strong history of simplifying durable medical equipment (DME) billing for our clients. Here’s how we achieve this:
-
We integrate electronic billing software with systems like Electronic Data Interchange (EDI), Electronic Health Records (EHR), and Electronic Medical Records (EMR) to speed up and ensure accuracy in electronic claims processing for DME billing. -
Implement standardized procedures for accurately recording patient information, DME orders, item descriptions, medical necessity, and physician orders. -
Submit documentation that demonstrates the medical necessity of the equipment to meet any pre-authorization requirements. -
Ensure complete code specificity and accuracy using the correct DME billing codes (HCPCS, CPT, DMEPOS, modifiers, diagnosis codes, place of service codes, and NPI codes). -
Align our DME billing procedures with the fee schedules and payment guidelines of payers such as Medicare, Medicaid, private insurance companies (Aetna, Cigna, Humana), Managed Care Organizations (MCOs), Veterans Affairs (VA), Tricare, and others. -
Maintain specific billing workflows for equipment and devices like mobility aids, oxygen equipment, hospital beds, prosthetics & orthotics, dialysis equipment, prosthetic limbs, Continuous Positive Airway Pressure (CPAP) machines, nebulizers, diabetic testing supplies, and more. -
Adhere to regulatory guidelines while managing various aspects of DME billing models, including coverage criteria, Certificates of Medical Necessity (CMN), Proof of Delivery (POD), and rent-to-purchase agreements. -
Review Explanation of Benefits (EOB) details to identify any claims rejections and support the appeals process as needed. -
Generate patient liability statements covering DME costs such as deductibles, copayments, and coinsurance amounts.
A Walkthrough of Our DME Billing Process
Sourcing Support Documents
When you outsource your DME billing services to us, we gather invoices and other essential transaction records for thorough analysis.
Eligibility Verification
We collaborate with providers and insurers to confirm that your client is eligible for claims and their coverage benefits.
Personalized Billing and Patient Statements
We make sure to code your invoices and transaction records accurately, so they are easy to find and manage. We also compile our insights and data into clear reports and timely statements for you.
Electronic Claims Filing
Once we verify the accuracy and completeness of your records, we submit the files and documents in the digital format required by your insurance provider.
Routine Claims Follow-Up
After submitting claims, we regularly check in with the insurer to monitor the status of your claims. Consistent follow-ups help speed up the processing time.
24/7 Service Support
We capture and post payments from insurers into your account for reconciliation. If there are any payment discrepancies, we offer denial management support to address the issues.
How We Are One Of The Best Dme Medical Billing Companies
Certified Billing Experts
We are a HIPAA-compliant and ISO-certified company committed to taking on the challenges and responsibilities necessary to turn your claims into successful payments.
Scalability
To stay ahead of future challenges, it’s crucial to have a billing service that can adapt. Our scalable billing solutions are designed to handle unexpected changes in policies and processes effectively.
High Accuracy and Quality Service
We make sure your billing is spot-on to avoid any issues with claim denials from overbilling or underbilling. Before we submit anything, we double-check everything to ensure it’s accurate and of high quality.
High Accuracy and Quality Service
We make sure your billing is spot-on to avoid any issues with claim denials from overbilling or underbilling. Before we submit anything, we double-check everything to ensure it’s accurate and of high quality.
Ready to Speed Up Your Collections?
Get started with our DME billing solutions today and experience a revenue boost of up to 30%!