DME Billing Services – The Sunknowledge Edge

There’s a growing presence of the professional DME billing services. There are quite a few reasons behind that. DME billing is different. Interestingly, the definite distinction between billing for Durable Medical Equipment (DME) services and other clinical systems is often overlooked by even the industry insiders. DME or Home Medical Equipment has an underlying role to play in assisting clinical services, subjected to specific conditions. Unfortunately, there are some longstanding issues that DME billing faces:

  • Some DME’s are no authorized by Medicare, Medicaid, and/or private health insurance plans.
  • Often considered as therapeutic services.
  • Lack of Healthcare Common Procedure Coding System (HCPCS) coders. HCPCS is the level II codes assigned for DME gear and supplies.
  • Often not within permissible reimbursement limit under the patient’s policy.

The above points are the major reasons for pharmacies and other healthcare entities dealing with DME products are turning towards the HME billing services. Add to it the aftermath of various regulatory changes like the Final Rules. Through the Final Rules, the CMS mandated prior authorization for some DMEs, prosthetics, orthotics, and supplies (DMEPOS). The overhaul has increased the complexity around additional documentation. The pharmacists and the providers need to keep themselves updated with information on Medicare laws, coverage policies, supplier manuals, etc. by referring the DMEMAC websites. Employing a specific software or service to handle the DME billing and documentation can also help. However, lack of professional DMB billing experts, high training costs to train the existing employees, etc. are few of the reasons that limit the DME sellers from achieving the desired success. No wonder, the professional DME billing services are employed to handle the situation.

However, not all DME billing services in the market are good enough to solve your DME billing problems. What you need is a partner who can provide you a comprehensive DME billing solution meeting the dual purposes; addressing the pain areas and suiting your budget.

Sunknowledge Services Inc. is that helping you are looking for. With an experience of over a decade in handling HME billing, our team of dedicated account managers and expert HCPCS coders provide you the tailor-made solution you are missing. Here are some of the advantages of working with Sunknowledge:

  • Accurate checks and balances with 99% overall accuracy
  • Dedicated managers with an experienced team for fastest service
  • Instant reduction in operational cost by 80%
  • No hidden cost
  • HISCOX insurance of up to $1 million to cover any error of omission & commission
  • Daily/Weekly/Monthly customized reports
  • Clients’ legal issues handled by Nixon Peabody
  • No hidden cost 100% HIPAA compliance
  • Experience to serve more than 100 clients
  • Low fee standalone services starting from $5
  • Free Telemedicine platform
  • 100% client retention

The 100’s of excellent client references that Sunknowledge provides you is the testimonial of our outstanding HME billing service to the leading names in the industry. Come join us to be a part of the success story. Call us or book an online demo now!



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