A Guide on Durable Medical Equipment Billing

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A Guide on Durable Medical Equipment Billing

• Medicines or other medical equipments can be
  readily available from a pharmacist, or any
  resources. But the pharmaceutical industry does
  not only rely on medications, right?
• Often the patients health deteriorates to the
  extent that they have to rely on life-saving
  resources. But what exactly is a Durable Medical
  Equipment?
• Durable Medical Equipment is the abbreviated
  form of DME. It is an item that is prescribed to
  patients who suffer from some severe medical
  conditions. Some medical conditions may weaken
  the body to such an extent, and they need a
  source to support their life. Such resources are
  termed as DMEs.
• Read More

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A Guide on Durable Medical Equipment Billing

• This Durable Medical Equipment is not cheap for
  many patients to buy. There is a considerable sum
  to be paid for even renting the item for a
  limited time, forget buying! Thus, for the
  patient to get some relief from the financial
  crisis, the insurance companies/payers may step
  in.
• The insurance company pays a certain amount of
  claim, provided all the documentation and
  protocols set in place.
• Durable Medical Equipment Billing is managing the
  overall activities that are taken place to claim
  for the equipment you rent. The documentation and
  every minor detail have to be clearly monitored
  as any misplaced document, or incorrect
  information can directly lead you to higher
  chances of denial for claims.

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A Guide on Durable Medical Equipment Billing

• Durable Medical Equipment Industry
• DME Industry is necessary, in all regards. When
  you look at medical history, so many patients
  suffer from chronic, life-threatening diseases.
  For instance, the entire world is right now
  shaken by the Covid-19 virus. There is an utmost
  need for the DMEs. When a patient is dying out
  there, is it necessary to treat them first or to
  have the documents sorted? 
• For such instances, theres a dedicated group of
  companies that will work on the complete
  management of renting or purchasing such
  equipment and helping the individuals gather the
  relevant data and papers which can help them to
  claim for such a tremendous amount. 

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A Guide on Durable Medical Equipment Billing

Also, it is your responsibility to look after
your dear ones in such times and not indulge in
some secondary affairs. These companies take up
all your worry and liberate you from any possible
issues. At the same time, making sure youre not
denied from the financial help you
deserve.  There are a lot of devices and
equipment that fall under the Durable Medical
Equipment. Few of the common and commonly heard
are Walkers, Crutches, Wheelchair, Hospital
Beds, Oxygen related equipment, blood sugar
monitoring, braces, mobility devices,
ventilators, etc. While these are equipment that
may not necessarily be purchased but rented for a
specific amount, then, in scenarios like this-
the billing and the proper coding is to be made
sure. The claims will help the patient pay those
massive heap amount.
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A Guide on Durable Medical Equipment Billing

• Durable Medical Equipment Coding and Durable
  Medical Equipment Billing
• Healthcare Common Procedure Coding System (HCPCS)
  is a standard code build for providers in the
  medical industry for health insurances and
  Medicare. The DME is a complicated procedure as
  compared to the other medical billing issues.
  This type of situations falls under HCPCS Level
  II codes. 
• The Durable Medical Equipment billing is a
  procedure, and hence every step must be taken
  care of, failing, which can lead to a lesser
  chance of reimbursement. The code should be
  formulated perfectly, and the entities must be
  clearly and precisely defined. The information
  must be on point, and there is no space for any
  sort of ambiguity.
• Multiple people come into picture while DME
  coding and billing process takes place. From
  doctors to the patients side, Durable Medical
  Equipment supplier and the coder to the insurance
  company. All must meet the ends to ensure that
  the patient is not incurred in debts or losses,
  the insurance company extends its support.

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A Guide on Durable Medical Equipment Billing

• The entire procedure needs to be done in the
  proper flow. There is an algorithm that is
  usually followed for such systems.
• Once the doctor finds a requirement of any DME
  for a patients medical condition, the documents
  must be made which will help for claims
  submission.
• Upon a request risen for DME, the patients end
  will reach out to a DME supplier. The coder here
  needs to provide the proper prescription and also
  collect the patients insurance company.
• The insurance company may also expect a check
  from their end. The use of the equipment and the
  agreement on paying for the equipment as the
  claim, all these sorts of business are settled
  here.
• Upon finishing the necessary paperwork, the
  material is handed to the patient.
• The medical coding is then done, the proper use
  of codes and the correct information is to be
  made.
• The entire procedure is encrypted in the code and
  handed to the insurance company. The appropriate
  authorization and billing are needed to ensure
  the insurance company is liable to pay the claim
  amount to the patient

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A Guide on Durable Medical Equipment Billing

• There are a lot of services offered, like medical
  billing companies. They keep a record and check
  if all the documents are on point, and no
  incomplete or fake information is handed. The
  process is much complicated and tedious than
  expected.
• The services obtained from a reliable medical
  billing company is utmost necessary in such
  regards. They take care and make sure all the
  documents are genuine, and all the paperwork is
  on point.

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A Guide on Durable Medical Equipment Billing

• What Are Modifiers in Durable Medical Equipment
  Billing?
• There is so much information related to any
  particular item. Any single code may not be
  sufficient to point out all the features and
  information. Hence, to have some extra
  information regarding the subject, modifiers are
  something to rely on.
• From encrypting the information to giving the
  details needed for any particular Durable Medical
  Equipment, modifiers can be used with the HCPCS
  code. A modifier is used to provide more
  information. There are many keywords that are
  used but below mentioned are some of the widely
  observed modifiers.
• RR Rental
• NU New Equipment purchase
• UE Old Equipment Purchase

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• Even digging deeper, there are few other keywords
  that point out at the Rental period. For
  instance,
• KH First-month rental
• KI Second and third-month rental
• KJ Fourth to 13th-month rental

A Guide on Durable Medical Equipment Billing
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A Guide on Durable Medical Equipment Billing

• Outsourcing of Durable Medical Equipment Billing
• It is beneficial in all regards to outsourcing
  DME billing and coding as it eliminates a lot of
  headaches and is a plethora of time-saving and
  cost-saving techniques. Instead of rubbing your
  heads on the documents and other sources, the
  doctors and health practitioners can concentrate
  more on the treatment of the patients.
• The dedicated team is already skilled enough to
  deal with this and hence the time to train your
  staff or hire people to take care of these
  billing requirements.
• The revenue can also be increased in terms of
  infrastructure and staff. With no need to hire
  more people and train them, this surely can be
  your brownie point.
• The DME billing is time-consuming and tedious. It
  can end up taking a lot of your considerable
  time. This time can be productively used in
  taking care of the patients.
• The billing stuff is trained and upgraded with
  the latest take in the market. Theyll be smart
  enough to tackle all the happenings in the
  market.

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A Guide on Durable Medical Equipment Billing

• The reliable third-party sources will also make
  sure that the proper codes and accurate
  information is handed and nullifies the
  possibilities of generating errors. The work is
  done precisely and in the stipulated time period.
• There is a lot of popular software available in
  the market that handles the task of DME billing.
  While the number may go on increasing, some very
  popular ones have been gaining a reputed position
  and are reliable for all sorts of DME Billing
  procedures.
• Brightree is one of the most renowned and trusted
  software solutions for all your queries on
  Durable Medical Equipments Medical Billing.
  Helping you with all the steps, they have helped
  a handsome amount of people get their claims.
  From assisting you in generating revenues, they
  are one of the leading solutions.
• Other widely used options are Practice Suites,
  Provider Suite, Bflow Solutions. They are one of
  the most reliable and widely used software
  available in the market for billing of the
  durable medical equipment. They are used by
  professionals who ensure the complete management
  of billing these types of equipment and its uses.

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• Most Common ICD 1O codes used with Durable
  Medical Equipment Billing
• There are few frequently used ICD 10 codes which
  target the problems coming under the Durable
  Medical Equipment Billing. Some of the commonly
  used ones are
• E0100-E0159 Walking Aids and Attachments
• E0163-E0175 Commode Chair and Supplies
• E0181-E0199 Pressure Mattresses, Pads, and
  Other Supplies
• E0250-E0373 Hospital Beds and Associated
  Supplies
• E0424-E0487 Oxygen Delivery Systems and Related
  Supplies
• E0621-E0642 Patient Lifts and Support Systems
• E0950-E1036 Wheelchair Accessories

A Guide on Durable Medical Equipment Billing
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A Guide on Durable Medical Equipment Billing

• In a nutshell
• Durable Medical Equipment is used by healthcare
  professionals when there is a need for the
  patient to rely on some external sources to
  support his health and body. Such items bare a
  cost even if rented, hence there is a complete
  procedure to undergo for the perfect
  documentation and other paperwork.
• Durable Medical Equipment Billing is often taken
  as a different department and several experts
  make the whole process by themselves. When the
  need arises for a specific Durable Medical
  Equipment, the prescription is taken to the
  Durable Medical Equipment supplier. This is coded
  in the proper format and presented to the
  insurance company.
• Proper authorization check, if needed is done and
  the insurance company checks from their end. The
  entire documentation and paperwork are then
  handed to the insurance company and the claim can
  be generated.

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A Guide on Durable Medical Equipment Billing

• These types of services should not be constrained
  in any timeframes. The services should be made
  available 247 for fellow patients. After all,
  the need for a medical emergency arises at any
  odd hour. There is no advance notice or time
  limit for such cases.
• Thus a dedicated team can take over these tasks
  to ensure that the work is done precisely and
  with no loss for the doctor in terms of time and
  money. Outsourcing the Durable Medical Equipment
  Billing Coding is a suitable and well-chosen
  option.
• Also, Credentialing services are time-consuming
  and may cost you high? Well, we are here to ease
  your troubles. Free Credentialing will be
  provided by us to cater all your needs and the
  services will not have you bang your head on the
  tiresome work. We are here to take care of the
  minute things that might have troubled you. Rely
  on our services as we offer you the best we can!

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15
About us

• We are a medical billing company that offers
  24/7 Medical Billing Services and support
  physicians, hospitals, medical institutions and
  group practices with our end to end medical
  billing solutions. We help you earn more revenue
  with our quick and affordable services. Our
  customized Revenue Cycle Management (RCM)
  solutions allow physicians to attract additional
  revenue and reduce administrative burden or
  losses.
• Our company was founded in 2005 and is now a
  leading organization of highly motivated and
  certified coders billers in the US medical
  billing industry. Our current employee strength
  is 500 and we have ambitious plans to grow more
  rapidly.
• As a leading Medical Billing Outsourcing Company
  we take care of the complete setup enrolment in
  about one to four weeks time depending on the
  complexity of the project. We have certified
  trainers with 10 years of experience to train
  the newcomers so they can get acquainted with the
  specialty jargons stay updated with the recent
  coding developments.

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Contact us

• 24/7 Medical Billing Services
• 16192 Coastal Hwy,
• Lewes, DE 19958
• USA
• Phone no
• 1 888-502-0537
• Email Address
• info_at_247medicalbillingservices.com

info_at_247medicalbillingservices.com
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888-502-0537