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DME/HME Billing Service

DME/HME Billing Service

Innovative tech for healthcare providers.

DME medical billing and HME billing services can play an effective role in bringing continuous revenue for healthcare service providers. However, the billing process differs significantly from standard medical billing. DME stands for ‘Durable Medical Equipment’ and HME stands for ‘Home Medical Equipment.’ With the growing demand for this equipment, efficient DME/HME billing services have become essential for maintaining financial stability. While DME/HME equipment can generate steady income, the intricate steps involved in submitting claims make consistent revenue challenging without the right support. That’s why many providers turn to outsourced DME billing services to manage these complexities with accuracy and speed. The process includes multiple critical phases—from prescribing the appropriate HME to final claim submission with the insurance payer. Accurate HME billing and coding services are vital here, especially when using the HCPCS (Healthcare Common Procedure Coding System), which is the standard for coding all DME/HME equipment in the U.S. Since patients may either purchase or rent equipment, correct code allocation becomes a key factor in reimbursement. This makes precision in documentation and billing calculations an absolute necessity in professional DME medical billing services.

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Innovative tech solutions

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Streamline operations

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Enhance patient care

Benefits of Revenue Cycle Outsourcing

After getting the prescription, the patient can visit a DME supplier or retailer to get the equipment on rent or via purchase. Meanwhile, the insurance company verifies the DME medical billing requirements and medical records to approve the prescribed equipment. The respective supplier shall issue the prescribed item after completing the needed HME billing and coding services documentation.

The HCPCS coding professionals must have the prescription and medical insurance details with them. The provider may require authorization approval from Insurance to carry out the DME medical billing process. Efficient handling through HME billing and coding services ensures timely and accurate claim submission. Following up on the DME/ HME claim is similar to following up on any other medical claim.

When a doctor deems DME/HME equipment necessary for treatment, he/she prescribes it. During DME medical billing, it is necessary to submit documentation at the time of claim submission explaining the medical need for the billed equipment and whether it is classified as a rental or purchase under DME/HME billing services.

The final step is to submit the claim with proper paperwork and HCPCS Level II coding. With outsourced DME billing services, you may need to attach an authorization number and must carefully code every single piece of equipment using accurate details provided through professional DME medical billing services.

Following up on a DME/HME claim is similar to following up on any other medical claim, but leveraging expert DME/HME billing services can streamline the process and improve reimbursement outcomes.

Specialized Billing Solutions for Durable Medical Equipment (DME/HME)

1. Power Wheelchair. 2. Sleeping disorder machines like CPAP, BI-PAP, ASV. 3. Hospital beds and related accessories. 4. Standing Frames & Patients lifts billing (covered under DME medical billing services). 5. Equipment for treatment of wounds and NPWT (included in outsourced DME billing services). 6. Bathroom DME/HME equipment and accessories (managed through HME billing services).

Start Your Journey

Want to explore how our services can benefit you? Let’s chat! Schedule a call today.

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