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mileytaylor38 (1)

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Wheel chairs, walkers, and crutches relate to durable medical equipment (DME) billing category and require certain procedures to follow before and during billing. Most of the insurance providers may not cover DME supplies under any policy. Even Medicare covers only some equipment, which do not come under mobility, only on periodic circumstances. Yet, there are companies that provide coverage for DME supplies like Wheel chairs, Walkers, or Crutches but with following a stringent procedure. This article can help you with providing the piece of information you need to know for billing DME supplies. – PowerPoint PPT presentation

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Title: mileytaylor38 (1)


1
How to bill for Wheel Chairs, Walkers, or Crutches
  • Wheel chairs, walkers, and crutches relate to
    durable medical equipment (DME) billing category
    and require certain procedures to follow before
    and during billing. Most of the insurance
    providers may not cover DME supplies under any
    policy. Even Medicare covers only some equipment,
    which do not come under mobility, only on
    periodic circumstances. Yet, there are companies
    that provide coverage for DME supplies like Wheel
    chairs, Walkers, or Crutches but with following a
    stringent procedure. This article can help you
    with providing the piece of information you need
    to know for billing DME supplies.
  • Read More

info_at_247medicalbillingservices.com
https//www.247medicalbillingservices.com/
888-502-0537
2
info_at_247medicalbillingservices.com
https//www.247medicalbillingservices.com/
888-502-0537
3
  • Requirements to be fulfilled for DME billing
  • To check whether your DME is eligible for
    coverage, you need to provide a prescription
    stating rent or purchase of the equipment,
    accordingly.
  • There are certain items that you can only rent
    and cannot purchase. This comes under capped
    rentals, and based on the usage of equipment, the
    coverage depends as well.
  • The rules may vary from one insurance provider to
    another. Certain companies do not encourage
    straight purchase of DME, but some may expect the
    DME to be rented first and then purchased. So
    depending on whom you tie-up with, follow the
    procedure properly.
  • You should fill the CMS-1500 claim form (version
    08/05) for claiming the DME bill.
  • Provide the right HCPCS code to bill your
    relevant DME supplies. Make sure it includes but
    not limits to NU, RR, etc.
  • Once you enter the procedure code, ensure you
    mention the maintenance and repair modifier
    codes.
  • Before you submit all your claims, check whether
    you have provided detailed description of
    services provided.
  • In case you do not have or find the right code
    for DME billing, use the code E1399 or any other
    miscellaneous HCPCS code. But while mentioning
    so, you should provide additional documentation
    for such DME claim if you enter miscellaneous
    codes.

info_at_247medicalbillingservices.com
https//www.247medicalbillingservices.com/
888-502-0537
4
  • The documentation should contain the following
    checklists before submitting the DME claim.
  • Provide neat and complete description of DME
    claim you wish to proceed.
  • If you are making the claim for the first time,
    enclose the factory invoice of the item. If it is
    proper, you should also get a certificate of
    medical necessity form duly signed by the
    physician. Note that you cannot include
    catalogues or retail price listings for
    additional documentation, since it cannot be
    accepted.
  • Avoid stapling the documentation to the claim
    form.
  • Submit all hand-written/hard copies of initial
    claim form to confirm that all documentation
    reaches for claim at a time.
  • Note that additional documentation cannot be
    transferred if you have submitted your initial
    claim electronically.
  • Individual guidelines are available for every
    activity that you take up with your DME. Be it
    for purchase, rental, and reimbursement of DME,
    you should follow certain formal procedure.
    Before you purchase a DME, you should be aware
    whether it gets covered under insurance, and if
    so, you can keep documenting everything for the
    purpose of DME billing. If you opt for any DME
    add-ons or upgrades, it has a separate procedure
    for claims as well. Keep yourself updated for
    knowing latest changes or inclusions in the DME
    billing procedure in the future, which can avoid
    re submissions or mistakes while submitting the
    claim form.

info_at_247medicalbillingservices.com
https//www.247medicalbillingservices.com/
888-502-0537
5
  • Conclusion
  • If you have any trouble with your DME
    billing/claims, you can approach 24/7 Medical
    Billing Services and get it resolved. We offer
    free consultation on any process related to DME
    and keep you away from confused state if any.
    24/7 MBS is renowned for its high-quality and
    reliability in providing DME billing services and
    successful through achieving client satisfaction
    across.

info_at_247medicalbillingservices.com
https//www.247medicalbillingservices.com/
888-502-0537
6
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.

info_at_247medicalbillingservices.com
https//www.247medicalbillingservices.com/
888-502-0537
7
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
https//www.247medicalbillingservices.com/
888-502-0537
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