Durable Medical Equipment Billing Services

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• Durable Medical Equipment Billing Services

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Durable Medical Equipment Billing Services

• Every DME supplier faces challenges in coding and
  billing. Professional coding and billing
  expertise is necessary to code and bill DME
  claims. DME coding and billing is complex and
  requires experienced, trained and certified
  coders to accurately code the rentals and sales
  of equipments that provides therapeutic benefits
  to a patient in need. DME includes, but is not
  limited to, wheelchairs (manual and electric),
  traction equipment, canes, crutches, walkers,
  kidney machines, ventilators, oxygen, monitors,
  pressure mattresses, lifts, nebulizers, hospital
  beds, bili blankets and bili lights. etc.
• Medisys Data Solutions brings years of DME coding
  and billing experience to you. Your DME services
  needs the skills and experience to handle complex
  rentals, sales, rental to sales conversion
  procedures. We at Medisys Data Solutions are
  recognized in DME coding and billing.
• Below Are A Few Steps From DME Billing
  Professionals
• Proving medical necessity A certificate of
  medical necessity from the physician with the
  physicians signature and filling of appropriate
  medical necessity forms can fast track DME
  rentals reimbursement

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Durable Medical Equipment Billing Services

• Capped Rentals Medicare covers initially for
  rental, rather than for purchase, often because
  of its high cost. Medicare pays the rental fees
  for these items in monthly installments. The
  patient can keep a capped rental item as long as
  it is medically necessary and elect to buy it.
  Reimbursement of capped rentals can be tricky as
  insurances reimburse them as rentals rather than
  as purchases.
• Quality checks and audits Regular quality checks
  and frequent audits of coding is a must to avoid
  repetition of errors. There needs to be open
  communication between physicians, coders,
  billers. Physicians need to be educated by coders
  and billers frequently used ICD and CPT codes by
  the practice and denials/rejections.
• Follow ups Consistent follow ups with the
  physicians office for incomplete prescriptions
  reduces the delay in submitting the claims to
  DMERC (Durable Medical Equipment Regional
  Carrier).
• CPAP, BiPAP billing Suppliers for DME should be
  careful while billing CPAP (Continuous Positive
  Airway Pressure), BiPAP (Bilevel Positive Airway
  Pressure) machines. When billing for durable
  medical equipment (DME), the use of appropriate
  HCPCS code and modifier(s) to describe the items
  being billed, enables quick reimbursements.

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Durable Medical Equipment Billing Services

• Use of modifiers In addition to an appropriate
  HCPCS code for the DME item, many HCPCS codes
  require a modifier. The modifiers are used to
  provide more information about the rental item.
  The modifier tells that an item is new, used, or
  rented on a capped basis. For capped rentals,
  modifiers distinguish which month rental is being
  billed. If these modifiers are used incorrectly
  or missing, the claim may be denied.