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.

24+

Years of Experience

13+

Industry Verticals

5000+

Experienced Professionals

StripDurable Medical Equipment (DME) Billing Services

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

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  • 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

Request a Quote

Request a Free 30-minute Consultation With Our DME Medical Billing Specialist!

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

Step-by-step process for Durable Medical Equipment (DME) Billing Services
Step-by-step process for Durable Medical Equipment (DME) Billing Services

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Why Choose Our DME Billing Services?

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 24 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).

24

Years of
Experience

10+

Industry
Verticals

5000+

Experienced
Professionals

ISO: 9001:2015 Certified Company
ISO  27001:2013 Certified Company
HIPPA-Complience

24+

Years of Experience

35-40

Days in AR

98%

Clean Claim Rate (CCR)

<8%

Denial Benchmark

95%

Net Collection Rate (NCR)

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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.

Christina Sussex
Leading Healthcare Provider in France

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.

Christopher Middleton
Leading Healthcare Company in US

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.

Chris Lauren
Leading Healthcare Company in US

What Our Customers Say

We are thrilled with the impeccable chiropractic billing services offered by Invensis. Their comprehensive knowledge of the industry, prompt claims processing, and meticulous attention to detail have immensely benefited our healthcare reimbursements. Highly commendable!

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John Davis
Leading Healthcare Company in the UK.

We are extremely pleased with the exceptional hospital billing services provided by Invensis. Their expertise and attention to detail in Medicare billing and compliance in medical billing have streamlined our revenue cycle and improved financial performance.

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Emily Johnson
Leading Hospital in the US.

Invensis has been an invaluable partner for our organization, providing exceptional ASC billing services. Their expertise and dedication have significantly improved our revenue cycle management. Highly recommended!

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Sarah Smith
Leading Healthcare Provider in Italy.

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Contact Information

You can reach us at:

Call us
+1 (302)-261-9036
sales@invensis.net
Locate Us
Invensis Inc. 2785 Rockbrook Dr STE 204 Lewisville, TX 75067

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