Expert DME Billing Services
DME billing differs from other types of medical billing and is a complex process. It requires a knowledgeable and professional DME billing expert with in-depth knowledge of HCPCS codes. Despite this expertise, challenges in DME billing persist, particularly in medical coding and billing. Since durable medical equipment is often expensive, patients frequently prefer renting over purchasing. This makes it essential for the billing team to understand when and how to use specific codes for accurate and seamless reimbursement.
To navigate these complexities, trained, experienced, and professional DME billers and coders are essential. DME billing extends beyond orthotic equipment to include items such as wheelchairs, hospital beds, blankets, crutches, braces, walkers, ventilators, oxygen monitors, and more.
The major challenge in DME billing is reducing the number and volume of claim denials. This can be achieved by gathering all necessary documents and correctly using accurate codes and information. Incomplete payer details or missing documents significantly increase the risk of denials. Submitting complete claims reduces A/R efforts, saving time, resources, and money.
Achieving perfect coordination between the front-end and back-end processes is crucial for successful DME billing. As a dedicated DME billing company, we manage all aspects of your billing processes to minimize denials. Our experienced staff ensures improved cash flow for our clients by streamlining operations and maximizing reimbursements.
What is Durable Medical Equipment Coding?
Medical coding involves assigning a specific code to each piece of durable medical equipment to represent it within the billing system. This system, known as DMECS (Durable Medical Equipment Coding System), simplifies the identification of equipment for distributors and suppliers. Designed to streamline the DME billing process, it helps professionals track and manage equipment efficiently, acting as a reference directory for those involved in billing.
However, DMECS is not a substitute for HCPCS codes, which are essential for accurate billing and reimbursement. Additionally, modifiers are often applied in the billing process to provide further specificity and ensure proper claim submission.
- RR – Rented Item
- KH – First rental month
- KI – Second and third rental month
- KJ – Fourth through the thirteenth month
- KX – documentation to confirm the medical requirement
- BP – Beneficiary purchase
- NU – New purchased item
- NU – New purchased item
- UE – Used purchase
- BR – Beneficiary Rental
- LT – Left side
- RT – Right side
- RA – Replacement of a DME
- RB – Replacement of a part of a DME
What we offer in DME Medical Billing Services?
We specialize in DME Medical Billing Services, ensuring accuracy and efficiency in processing claims for durable medical equipment. Our trained professionals meticulously capture and analyze data, guaranteeing error-free billing. We provide clear and concise practice statements, manage denials effectively, and assist with claims filing by tailoring submissions to meet insurance requirements. Custom reports offer insights into financial performance, while payment posting and auditing ensure accuracy in reimbursement. Additionally, we negotiate fee schedules and track aging reports to provide timely updates. Our comprehensive solutions streamline the billing process, ensuring healthcare providers receive optimal reimbursements without hassle. With AccQData, you can trust in expert support for your billing needs, minimizing errors and maximizing revenue.
Our process in DME medical Billing
We take pride in being a prestigious DME billing company. With years of experience and extensive expertise in DME billing, we continuously strive to refine our processes, making them efficient, seamless, and client-focused. Below is a brief overview of how we conduct our operations:
Documentation
Documentation is the first and most critical step in the DME billing process. While many billing companies outsource this task, doing so increases the risk of denials due to missing documents. At our DME billing company, we handle documentation in-house to minimize errors and ensure accuracy. From the outset, we thoroughly screen requirements and begin gathering the necessary documents. We maintain a detailed checklist to avoid mistakes and ensure all information is accurate and properly organized. Once the required documentation is complete and verified, we proceed with processing the medical claim.
Eligibility and Authorization Verification
We use AQVerify, our in-house eligibility verification software, to streamline the process. AQVerify is reliable, fast, and helps us save valuable time. It ensures that the applicant meets all the minimum criteria set by the payer. Since authorization is a crucial step, we complete this process before moving forward with the operational steps. Unlike many other billing companies, we handle eligibility verification and authorization in-house, giving us a unique advantage.
Claims submission and auditing
We implement best practices for claims filing to ensure a clean and error-free process. Accurate submissions reduce denials and help streamline the overall process. Additionally, we conduct thorough invoice auditing to prevent unnecessary DME billing errors.
Denial management
Denial management is a critical step in the medical billing cycle, as it addresses all residual claims. We handle this process with great efficiency. When a claim is returned, we ensure a thorough review to identify and correct any missing information, completing the claim as needed. Since effective denial management is key to maintaining cash flow, our team of experts ensures this process is carried out error-free.
A/R and Follow-up
Most DME billing companies have an A/R team to handle denials, and we are no exception. We take proactive measures to minimize denials and keep them to a minimum. However, if any denials do occur, our team of A/R experts diligently works on each claim, following up with insurance companies regularly. This ensures that we maintain a high volume of reimbursements and optimize cash flow.
24/7 Client Support
We provide 24/7 client support, 365 days a year, from anywhere. As a trusted provider of DME billing services, we take full responsibility for addressing our clients' queries. We are committed to helping our clients—simply reach out via email or phone, and our experts will assist you promptly.
Types of equipment we Bill in DME Billing
Generally, DME billing specialists focus on larger durable medical equipment. However, we handle billing for all types of equipment, including:
Outsource DME Billing services to us
In DME Billing, if you don’t do it properly, it can cost you delayed and denied claims. It costs you a lot as it is very time consuming and it comes in the way of generating revenue for your company. So generally all the companies go for the billing and forwarding them to the insurance companies to increase their collections, but here at AccQData, we not only take care of your billing but also for the process. Our Technology based solution helps you to decrease denials and helps you to quickly get the collection. Our experienced team creates an error-free process to get things properly. Here some of the other reasons to choose our DME medical billing services.
- Safe and Secure Billing
- Experienced Coding and Billing Experts
- Live Custom Reports
- Regular Pay Follow-up
- 100% HIPAA Compliance Processes
- Working with the latest software and technology
- 97% claims paid on the first submission
- 265-bit data encryption for secure data sharing
- No hidden charges
- Drastic Reduction in the overall costing
- In-house software solutions
- Check reports from anywhere anytime
- E-Claims Filing
- Transparent methodology
- Error-free entry with high accuracy
- 30% cost savings assured
- 25% increase in collections in the first few months
- Certified and well-trained A/R team
- Quality customer service
Why Choose us?
DATA PRIVACY AND SECURITY
At AccQData, we prioritize the privacy and security of your data. As a trusted provider of Durable Medical Equipment Billing Services, we use 256-bit encryption for data sharing and auto-filling. We collect all privacy-compliant data and securely store it in our encrypted database. 256-bit encryption is the latest and most secure technology available, scrambling data to make it unreadable.
Unlike many other billing companies, we prioritize encryption, helping to prevent cyberattacks and data theft. Our in-house technical team is always ready to counter any potential threats, as we believe in safeguarding your information just as carefully as we would keep a book beside our bed. This commitment to security is one of the key reasons to choose an experienced Durable Medical Equipment Billing Services provider like AccQData over others.
ACCURATELY CLAIMS FILLING
Many DME billing companies believe that claim filing is a simple process, often overlooking the potential for errors. However, the reality is quite different. The claims filing process is complex and requires an experienced and well-trained professional to ensure accuracy. At AccQData, we handle this critical step with precision, thanks to our certified and experienced staff members.
LIVE CUSTOM REPORT
At AccQData, we create custom reports tailored to our clients’ claim volume and specific requirements. These reports are accessible anytime, anywhere, as we upload them to an online server. Our live reports provide real-time updates on the status of your claims and revenue outcomes, helping you analyze the current situation and make informed decisions based on accurate data. Our reports are detailed, on-point, and feature a user-friendly interface that allows you to access insights quickly. With multiple filters, clients can easily find exactly what they need. Unlike other billing companies, AccQData offers this unique service, making us the ideal partner for your Durable Medical Equipment Billing Services needs.