FAQ
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Have questions about our DME billing services or need clarification on any process? Our team is here to help! Whether it’s about claim submissions, eligibility verification, or any other aspect of our services, feel free to reach out. We’re happy to assist you in navigating the complexities of medical billing for durable medical equipment.
Common Questions
Most Popular DME Questions
DME billing refers to the process of submitting claims to insurance companies for Durable Medical Equipment (DME) such as wheelchairs, braces, and crutches. It is crucial for ensuring that medical equipment providers are reimbursed accurately for the services they provide to patients, helping maintain a smooth cash flow for businesses.
We use advanced verification software, AQVerify, to quickly and accurately confirm whether a patient is eligible for DME coverage. This step ensures that all necessary criteria are met before submitting claims, minimizing errors and improving the chances of timely reimbursement.
When a claim is denied, our team conducts a thorough review to identify the cause of the denial. We promptly address any missing information or errors and resubmit the claim for processing. Our goal is to reduce denials and ensure maximum reimbursements for our clients.
Our clients have access to live custom reports that provide real-time updates on claims and payments. These reports are easily accessible online, ensuring that you can track the status of your claims and revenue outcomes anytime, anywhere.
You Need to Ensure Your DME Billing is Handled with Precision.
Our team of experts is here to guide you through the complexities of DME billing. Let us help streamline your process, reduce denials, and ensure timely reimbursements.
General Questions
Have a Questions? Find its answer in our FAQ.
We use a highly trained team of coders who specialize in DME billing. They are well-versed in HCPCS codes and ensure each item is correctly classified, preventing costly coding errors that can lead to denials.
We use our proprietary software, AQVerify, to verify eligibility in real-time. This ensures that the patient’s insurance covers the specific DME item before we proceed with the billing process, minimizing claim denials.
For complex claims, we work closely with healthcare providers and insurance companies to ensure all documentation is complete, including medical records and physician notes. This collaboration ensures that complicated claims are processed accurately and efficiently.
We follow a systematic approach for prior authorization, ensuring all necessary paperwork is submitted and approvals are obtained before the DME is delivered. This includes verification of medical necessity and payer-specific requirements to avoid delays.
We streamline the DME billing process by submitting clean, accurate claims and following up regularly on outstanding payments. Our team ensures that any issues are addressed quickly, minimizing delays in reimbursement.
We handle both purchased and rented DME equipment billing by correctly coding each item and ensuring the correct billing cycles are applied. We follow the proper billing procedures for both types of equipment to ensure accurate reimbursement.
Yes, we handle custom DME products as part of our services. We ensure that all customization details are properly documented and coded, and that claims are submitted with the necessary information for approval.
We have a dedicated denial management team that reviews denied claims, identifies errors or missing information, and resubmits claims quickly. This proactive approach reduces the likelihood of recurring denials and helps maintain cash flow.
We provide detailed, real-time reports that offer insights into your billing status, claim denials, and reimbursement progress. Our clients have access to live custom reports to analyze their claim volumes and make informed decisions.
Yes, our services include everything from eligibility verification and prior authorization to claim submission, denial management, and follow-up. We manage the entire DME billing cycle, ensuring accuracy and timely reimbursements.
We apply special attention to high-cost items by ensuring that all documentation and coding are thorough and accurate. This includes verifying medical necessity and obtaining proper authorizations before submitting claims to ensure proper reimbursement.
We stay updated on each payer’s specific requirements and ensure that all necessary documentation, authorizations, and codes are included in each claim submission. Our team’s experience and attention to detail ensure compliance with payer-specific rules, minimizing claim rejections.
