Durable Medical Equipment (DME) Billing Services
Are DME items (Durable Medical Equipment) billing complexities leading to delays in reimbursements or even claims denials? You need expert assistance to tide over these challenges. Our HIPAA-compliant DME billing services pull out all stops to maximize reimbursement and keep your finances stable.
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How We Streamline DME Billing for Your Practice
Our service covers everything from compiling necessary DME documentation to claims follow-up and A/R management. We are home to certified professional coders (CPC) and billers (CPB) who bring the required expertise needed to ensure faster payments, fewer errors, fewer claims denials, and reduced risk of compliance issues. We have a proven track record of simplifying durable medical equipment billing services for our clients. Here’s how we do it:
- Integrate electronic billing software with digital systems such as Electronic Data Interchange (EDI), Electronic Health Records (EHR), and Electronic Medical Records (EMR) to expedite and enforce accuracy in electronic claims processing for DME billing.
- Implement standardized procedures for accurately recording patient information, DME orders, DME item descriptions, medical necessity, and physician orders.
- Submit documentation demonstrating the medical necessity of the equipment to fulfill any pre-authorization needs.
- Ensure 100% code specificity and accuracy with accurate DME billing codes (HCPCS (E0100-E8002 code range), CPT, DMEPOS, modifiers, diagnosis, place of service codes, and NPI codes).
- Align DME billing procedures with fee schedules and payment guidelines of payers such as Medicare, Medicaid, Private Insurance Companies (Aetna, Cigna, Humana), Managed Care Organizations (MCOs), Veterans Affairs (VA), Tricare, etc.
- Maintain specific billing workflow for equipment and devices like mobility aids, oxygen equipment, hospital beds, prosthetics & orthotics, dialysis equipment, prosthetic limbs, Continuous Positive Airway Pressure (CPAP), nebulizers, diabetic testing supplies, and more.
- Adhere to regulatory guidelines while handling various aspects of DME billing models, including coverage criteria, Certificate of Medical Necessity (CMN), Proof of Delivery (POD), and rent-to-purchase agreements.
- Examine Explanation of Benefits (EOB) details to identify any instances of claims rejections and support the appeals process accordingly.
- Generate patient liability towards DME costs such as deductibles, copayments, and coinsurance amounts.
Our Comprehensive DME Billing Outsourcing Services
- Verification of Eligibility
- Prior Authorization
- Coding And Billing
- Claims Submission
- Follow-Up On Denied Or Rejected Claims
- Collection of Outstanding Balances
- Accurate And Timely Electronic Payment Posting
- Review And Audit of DME Claims
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Local Client Testimonials
During the consultation, some of the issues we can discuss are:
- Your current billing process for DME, its challenges, and how we help you address them
- How do we ensure compliance with all applicable healthcare regulations, including HIPAA and other data privacy laws
- The compatibility of our billing technologies with your practice management software
- Refer to our medical billing success stories that prove our expertise in this field
Invensis - The Most Trusted DME Billing Company
We are rated among the top DME billing service providers because we excel in streamlining and processing claims faster and more efficiently. We have acquired this expertise over 25 years by providing DME billing solutions to orthopedic DME Suppliers, respiratory DME Suppliers, mobility DME Suppliers, home Health DME Suppliers, and specialty DME Suppliers (e.g., for ostomy, urology, enteral nutrition). Our experienced team comprises CDME-certified billing specialists, certified coding specialists (CCS), compliance experts, credentialing specialists, patient accounts representatives, claims appeals specialists, and A/R specialists. They work with you in close quarters to guarantee positive outcomes. Our collaborative efforts have yielded up to 98% clean claims rate (CCR), reduced A/R days to 45 days, met the 8% claims denial benchmark, and an estimated 95% net collection rate (NCR).
Benefits of Outsourcing DME Billing
- Access to Specialized Expertise:
Durable medical equipment or DME billing can be complex and challenging, requiring specialized knowledge and expertise. In-house billing staff may not have the necessary skills and experience to handle DME billing efficiently, resulting in delayed payments, denials, and lost revenue. Healthcare providers outsource their DME billing services to a reliable service provider to address these challenges.
Invensis is a DME billing company with a team of expert DME billers who are well-versed in the intricacies of DME billing and reimbursement. Our team has extensive experience in dealing with insurance providers and government programs. Thus ensuring that your DME claims are accurately coded and submitted in a timely manner. By outsourcing your DME billing services to Invensis, you will benefit from our specialized expertise and ensure your revenue cycle runs smoothly. - Increased Revenue:
Managing durable medical equipment billing without specialized expertise will lead to missed opportunities and huge losses. Frequent billing errors and higher rates of claim denials will lead to revenue loss. To avoid these challenges, healthcare providers can outsource their DME billing to expert billing firms.
Outsourcing DME billing services to Invensis helps healthcare providers maximize their revenue and ensure timely reimbursements. Our team of expert DME billers has the knowledge and experience to accurately code and submit claims. They duly follow up on unpaid claims to ensure maximum reimbursement. With Invensis, healthcare providers can streamline their billing processes and focus on delivering quality patient care while boosting revenue and improving their bottom line. - Reduced Administrative Burden:
Managing billing for DME can be a cumbersome and time-consuming process for healthcare providers. DME billing requires significant administrative work, from verifying insurance coverage to submitting claims and following up on payments. To focus on these tasks, healthcare providers prefer to outsource DME billing.
By outsourcing billing services for DME to Invensis, healthcare providers can reduce their administrative burden and focus on what they do best – providing excellent patient care. Our team of DME billing specialists is well-versed in the latest billing codes and regulations. And they handle the entire billing process, from claim submission to payment posting. - Improved Patient Satisfaction:
Healthcare providers often face numerous challenges when billing for durable medical equipment. Handling DME billing in-house can be time-consuming and expensive, often leading to errors and claim denials. All this ultimately affects overall patient satisfaction. Therefore, outsourcing DME billing services to a reliable partner can help providers focus on patient care and improve satisfaction.
Invensis provides outsourced DME billing services that ensure accurate billing, timely claims submission, and maximum reimbursements. Our certified coders and billers stay updated with the latest healthcare regulations and coding guidelines. Thus, reducing the chances of claim denials and errors. By partnering with Invensis, healthcare providers achieve higher patient fulfillment rates.
Trends in DME Billing
- Increased Use of Technology:
The increased use of technology in DME billing services has led to more efficient and accurate billing processes. Healthcare providers are leveraging technology solutions for electronic claim submission, electronic data interchange (EDI), automated payment posting, and real-time insurance verification. This helps streamline the billing process and reduce errors. Our DME coding services also utilizes technology to keep healthcare providers up-to-date with the latest billing technologies. It helps you in maximizing your revenue while minimizing administrative burdens. - Surging Demand for Telehealth Services:
The demand for telehealth services has surged within the DME domain due to the COVID-19 pandemic. Healthcare providers are now relying on telehealth services to offer medical care to patients remotely. We at Invensis are augmenting healthcare providers in meeting increased billing requirements for telehealth services. We ensure your billing needs are met accurately and timely, leading to higher patient satisfaction rates. - Increase in Outsourcing:
The trend of outsourcing DME billing services is increasing among healthcare providers. The prime reasons for it are the complex nature of DME billing, changing regulations, and increasing administrative burden. At Invensis, we support healthcare providers with end-to-end billing processes, from insurance verification to claim submission and payment posting. This allows healthcare providers to focus better on delivering high-quality patient care.
What Our Customers Say
We have been working with Invensis for the past two years, and they have helped us overcome many revenue cycle management challenges. The team often walks the extra mile to ensure that our needs are met.
Invensis has been our revenue cycle management healthcare outsourcing partner for the past 5 years. They have always delivered on their commitments, whether it is meeting our Service Level Agreement (SLA) or improving our billing process.
Invensis has been a great partner providing quality medical coding and billing services. The team is extremely responsive to every query we pose, and the turn-around time for deliverables is always as committed.
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