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A Complete Guide on DME Billing

by Busines Newswire
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Durable Medical Equipment (DME) billing is an ever-evolving industry. Payor policies, codes, reimbursement rates, etc., everything keeps changing over a period of time. To succeed in this ever-evolving industry, you must have a deep understanding of what DME billing process is, how it differs from other procedures, and what are the crucial components of the DME industry.

Through this blog, you’ll be deeply enlightened with what exactly DME Billing is and what to look for while getting DME Billing Service.

What is DME and DME Billing?

Durable Medical Equipment or DME is medical equipment that assists a person in daily life at home or within any other non-hospital setting. DMEPOS includes the same DME medical equipment along with Prosthetics, Orthotics, and Supply items. A DMEPOS item usually is used repeatedly, lasts 3+ years, and serves a medical purpose.

DME Billing refers to the process of submitting claims and getting reimbursed from insurance companies. For a successful process of DME Billing it is necessary to educate staff on proper billing procedures. The most critical part is to stay updated on industry guidelines and compliance so that it is ensured that you receive timely payments.

What makes DME Billing different from other Medical Billing processes

DME Billing is completely different from all other types of billing. It mainly has two main components – it allows for rentals and secondly, it requires HCPCS (Healthcare Common Procedure Coding System) codes. When a healthcare provider is submitting insurance claims, HCPCS helps to identify the billed item or service provided. For example, HCPCS code E0607 represents a home blood glucose monitor.

Errors in coding or any other error in DME Billing can minimize the chances of reimbursements for your healthcare.

Tips to minimize errors in DME Billing

  • Develop & maintain an audit ready process
  • Review current claims process (right from intake to submission)
  • Review your denial rates and reasons
  • Audit and look for potential errors
  • Analyze carefully and make any necessary changes

If you want an error-free DME Billing process, the ultimate solution is to outsource the process of DME Billing to the experts. However, there are various options available in the market and it can be challenging to choose the best one to satisfy your needs.

Things to Consider While Choosing a DME Billing Company

Keep these questions in mind your while looking for a well-equipped DME Billing Service provider:

  • Document review process?
  • Are claim denials reviewed & managed properly?
  • Do they look for rejection trends to better improve the billing process?
  • Is customized support an option?
  • Do they stay updated on changes to payor policies?
  • Will they review my A/R process and offer improvements in a scrutinized way?

All these points are important to consider while you are looking for a DME Billing services provider. If the service provider satisfies all the conditions, you can trust them. However, the task of finding such a provider is not an easy one. You must do detailed research that will take a lot of time and effort.

One such medical billing partner that provides expert DME Billing solutions to healthcare providers is – Eminence RCM. It is a one-stop solution for all your DME Billing needs while you sit back and take care of your patient’s health.