DME Medical Billing and Revenue Cycle Management (RCM) Services to Maximize Your Revenue

Why Should You Outsource DME Medical Billing Services?

Durable medical equipment (DME) billing can be quite complex because it involves the ever-changing coding requirements and compliance regulations and it also includes many details that are not part of any other aspect of medical practice. Medcare MSO’s experienced billing team streamlines the process and ensures rapid reimbursements. Our proven system and dedicated focus on billing and the medical revenue cycle allow us to guarantee an accurate and efficient process to meet your DME billing needs.

The Complexity of DME Billing Codes

DME billing stands apart from typical medical billing due to its unique set of coding challenges. Whether it’s for a walking aid or a respiratory machine, each equipment category demands specific HCPCS (Healthcare Common Procedure Coding System) codes. This complexity often leads to costly errors when handled in-house. At Medcare MSO, we have a dedicated billing team that understands these specialized codes and how they intersect with the various payer rules. This allows us to minimize errors and accelerate revenue flow.

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Outsourcing Medical Billing for an Efficient DME Billing Process

Outsourcing medical billing to professionals like Medcare MSO frees up office staff to deal with patients and helps to avoid upsets due to misunderstood bills and unexpected charges for durable medical equipment.

DME Medical Billing Has Unique Challenges

DME billing services have to manage a range of complex requirements in addition to the basic coding that is part of all medical billing. From specialty modifiers to specific payer guidelines, each DME claim has its own set of requirements. Medcare MSO offers the expertise needed to navigate these complexities, ensuring you receive the maximum reimbursement possible. The following are a few of the unique challenges for DME billing.

DME Billing Has Different Rules for Rentals vs. Purchases

Some DME is available for rental, but certain items must be purchased. And then there are some things that can be purchased after a trial rental period. Insurance companies have varying policies regarding these categories, and compliance with all the rules is critical for claims approval. Medcare MSO ensures seamless handling of these rental and purchase requirements, relieving your staff from the administrative burden.

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Customized Equipment Requires Specific Documentation

Customized equipment, such as specialized wheelchairs or orthotic devices, necessitates additional documentation for billing. This often includes a detailed description and a factory invoice. Our team is proficient at compiling all necessary paperwork to submit a comprehensive claim, ensuring there is no delay in reimbursements.

DME Billing Companies Must Be Aware of Warranty Statuses

Being aware of equipment’s warranty status is crucial when submitting claims for repairs or replacements. If the equipment is under warranty, the manufacturer must take care of repairs or replacements. Providers may only bill payers if the warranty has expired, which means the provider must keep track of the warranty status. Medcare MSO takes this into account, confirming warranty periods before billing to avoid any conflicts with insurance providers.

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Medcare MSO Provides All the DME Medical Billing and RCM Services You Need

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We Have an Innovative Approach to Medical Billing

Medcare MSO is a full-service medical billing company, with certified billers on staff who are experienced with the special requirements of durable medical equipment billing. Our innovative approach to medical billing includes proprietary software that assures all the latest codes and payer requirements are applied. We specialize in medical revenue cycle management (RCM) so are able to keep up to date with all the latest changes.

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Our Services Are Tailored to Meet Your Needs

Our customizable services allow you to outsource as much or as little of your billing needs as you wish. We’re happy to just do billing and AR claims management if that is all you want, but we will also take on any RCM tasks that you would like help with, including payer credentialing, compliance reviews, obtaining treatment authorizations, confirming coverage, and more.

Feel free to reach out to us at 800-640-6409 with any questions or for a free demo to see how Medcare MSO can revolutionize your DME billing process. We look forward to partnering with you!