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Durable Medical Equipment

Durable Medical Equipment Billing Services

Why Choose Rely On Us?

Below are the key features that Rely On Us concentrates for increased revenue and decrease in AR for DME billing –


  Fast forward eligibility verification process

  Proactive prior authorization

  Updated knowledge on coding and billing guidelines

  Billing cost deduction of 70% and will improve your collections by
    95%

  An extensive Account Receivable recovery

  No write offs or adjustments unless there is an approval from
    your end.

  Provide you with the needed transparency and credibility


Durable Medical Equipment (DME) is equipment that withstands repeated use, is primarily and customarily used to serve a medical purpose and is covered by the insurances. Generally, DME is not useful to a person in the absence of an illness or injury and is appropriate for use in the home.
With increasing rents, salaries and lower reimbursement rates, DME business face shrinking margins.Lack of revenue oversight about the DME can end up in lot of money left on the table. The durable medical equipments are paid at different rates with various payors. Payer reimbursement knowledge is very essential for DME billing.


Factors that we follow facilitating a faster reimbursement for the DME:

1.   Verification of patient eligibility prior to patient check-in.

2.   Documentation of the patient’s condition is crucial for DME
      billing.

3.   We suggest appropriate documentation strategies at times of
      appeal. A good documented appeal process may help us get
      reimbursed.

4.   A prescription and order of the DME must be issued and
      furnished to the suppliers within 45 days after the examination
      with the documentation which includes the patient’s medical
      record.

5.   The coverage aspects of DMEs differ with each Medicare
      contractor, it is very essential to understand the Medicare
      regulations.

6.   Since the introduction of competitive bidding of DMEs, physician
      must recognize of what DME can be employed to the patient as
      per the insurance eligibility.

7.   Use of the correct codes with modifiers is very essential for the
      payment of the DME claims.


Rely On Us Healthcare Services as a competent DME billing company reduce your pain by following all the above mentioned steps. We take up the responsibility of reducing your billing costs by 70% and guarantee the excellent best practices.

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Our Insights on billing for DME :

Rental Tracking and Managements for DME: Many assume that the DME billing is the same as other general billing activities. It can be a lot more complicated than fill and bill. The rental orders are sometimes capped i.e. for a few months, it can be processed for 13 months, but from the 14th month, you must convert the rental to ownership and notify the customer. This includes good claims solutions too.


Understanding general payment rules : Guidelines for coding prefabricated Vs custom orthotics, following Local Coverage Determinations and National Coverage Determinations, appending appropriate modifiers required, frequency limitations, updates on the fee schedule, obtaining prior authorizations, General Documentation Requirements such as Written Order Prior to Delivery, Certificates of Medical Necessity, Evidence of Medical Necessity for Parenteral and Enteral Nutrition (PEN) Therapy plays a major role in increasing the payments and reduce denials.
Rely On Us provides end to end support for practice management / revenue cycle management that improves reimbursements with 100% HIPAA compliance. We believe in working as a one stop operational extension that can eliminate all the proven challenges that are faced with DME billing.


Adhering to the Timelines: Turnaround time is very essential for DME claims. Billing services promptly can increase the rate of reimbursement. Getting reimbursed gets harder every single day.
There exist many reasons for the denial of DME claims as stated above. Although physicians have the right to recommend the DME for their patients, yet without medical necessity, they may lose the reimbursements.
Payor rules and regulations change often and is very complicated. Our experts can help you get paid faster for the DMEs by setting up simple processes but efficient ways to keep reimbursements flow in.