Are You Aware of Prescription Billing in DME

Durable medical equipments can be considered as any such device that provides therapeutic benefits to a certain illness or a medical condition and something that can endure repeated use. These items are primarily for a short term use (can be long term depending upon the seriousness of the medical condition) and is more appropriate to rent than a purchase. To understand the prescription billing in DME, it is important to get a clear idea about the entire flow chart.

At the start, a prescription is required for the rent or the purchase along with the quantity of the DE required. The verification process takes due course with the entry of the demographic details and other data before the claims filing process takes place.

In the case of a billing from a DME supplier, they have to meet the credentialing needs before applying for the reimbursements. The billing for the DME providers goes to the carrier in DME and not to the carrier in Medicare Part B. Complete documentation has to be done with the duration of use of the DME and the treatment plan of the physician.

Using of the right codes and modifiers is extremely important. Adding the appropriate HCPCS codes, procedure codes, maintenance and repair codes that adheres to the lifeline for a product is crucial. The factory invoice has the complete description of the item and also the medical necessity form with signature of the physician. Using the additional information with supporting documents, date of injury and the repairs claims has to be a part for making the claims all the more transparent.

Sun Knowledge: The DME Billing Expert

Sun Knowledge currently works with over 100 clients across a diverse range of specialties. We can provide you with excellent references from leading industry peers in the DME space about our functional best practices.

We provide you with an end to end practice management/ revenue cycle management support. Our team will ensure a billing cost reduction of 70% with an increase in collection of over 97%. At present, you can avail a DME biller of Sun Knowledge for just $7 per hour on a full time dedicated model of engagement.

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