Norabliss (2)

1
HOW TO EXECUTE BILLING FOR DME, ORTHOTICS, AND
PROSTHETICS IN PRIVATE PRACTICE?
2
EXECUTE BILLING FOR DME, ORTHOTICS, AND
PROSTHETICS IN PRIVATE PRACTICE
3
EXECUTE BILLING FOR DME, ORTHOTICS, AND
PROSTHETICS IN PRIVATE PRACTICE

• There are certain guidelines that can be followed
  to streamline DME and other billing processes,
  which help your patients to gain what they need
  and pay you what you are supposed to receive.
• 1 Generating a DME service provider number
• To obtain reimbursements for your DME supplies,
  splints, orthotics, and other supplies, you must
  have a DMEPOS number. This number is your proof
  that shows you are a DME supplier. Licensing is
  different from DMEPOS supplier number. Since your
  claims should come through Durable Medical
  Equipment Regional Carrier (DMERC), it is not
  easy to get over the process without providing
  the DMEPOS number while applying.
• 2 Mark the right codes
• Choosing the right code according to the service
  you provide might be a challenging one. The codes
  can be of different tyes according to categories
  for DME billing, Orthotics, or Prosthetic.
• Here are some tips to know how these codes can
  vary
• Prosthetic Initial Encounter Code 97761
• Orthotic and Prosthetic Management 97763
• Splinting and Bracing L-codes

4
EXECUTE BILLING FOR DME, ORTHOTICS, AND
PROSTHETICS IN PRIVATE PRACTICE

• 3 Reimbursement
• This is foremost important because it is the
  reason behind the execution of DME Billing. All
  three Orthotics, Prosthetic, and DME billing
  includes different parameters under several
  categories. For example, if you take Orthotics
  reimbursement, Medicare can ask you for
  evaluation, fitting, parts and labor, adjustments
  made while fitting and not more than 90 days from
  the delivery date, or repairs if any due to
  regular usage and exposed to wear or tear within
  90 days from the date delivered.
• 4 Choosing between Renting and Selling DME
• Before you rent or sell a DME item to your
  patient, your DMERC expects you to intimate them
  about your patients decision whether buying or
  selling.
• You can mention any of these modifiers in the
  claim form while you submit it to the DMERC.
• Choose BR if your beneficiary has opted for
  renting the item.
• Choose BP if the beneficiary has opted for buying
  the item.
• Choose BU if you have notified both the options
  to the beneficiary but have not made their
  decision within 30 days.

5
EXECUTE BILLING FOR DME, ORTHOTICS, AND
PROSTHETICS IN PRIVATE PRACTICE

• 5 Proving Medical Necessity
• For few items, you should provide a certificate
  of medical necessity (CMN) and moreover, the list
  of items may vary across the DMERCs. But there
  are certain common items such as TENS units,
  wheelchairs, CPAP machines, osteogenesis
  stimulators, hospital beds, power-operated
  vehicles and more.
•  Conclusion
• These are certain criteria that you can consider
  while executing DME billing, Orthotics
  Prosthetics billing, preferably if you are a
  private practitioner. 24/7 Medical Billing
  Services is an expert who have achieved
  milestones across verticals in the DME billing
  and coding

6
About 24/7 Medical Billing Services

• 24/7 Medical Billing Services is the nations
  leading medical billing service provider catering
  services to more than 43 specialties across the
  entire 50 states. You can rely on us for
  end-to-end revenue cycle management. We guarantee
  up to 10-20 increase in the revenue with cost
  reduction of your practice for up to 50. Call us
  today at 888-502-0537 to know more on how we can
  help boost profitability for your practice.
•  
• Media Contact
• Hari Sudan, Media Relations,
• 24/7 Medical Billing Services,
• 16192 Coastal Hwy,
• Lewes, DE 19958
• Tel [phone]
• Email - info_at_247medicalbillingservices.com