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A Guide on Durable Medical Equipment Billing


To outsourcing Durable Medical Equipment billing and coding as it eliminates a lot of headaches and is plethora of time-saving and cost-saving techniques – PowerPoint PPT presentation

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Title: A Guide on Durable Medical Equipment Billing

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
  • 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

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
  • 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.

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. 

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.
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.

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
  • 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
  • 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
  • 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

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
  • 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.

A Guide on Durable Medical Equipment Billing
  • What Are Modifiers in Durable Medical Equipment
  • 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

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

A Guide on Durable Medical Equipment Billing
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

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
  • 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.

  • 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
  • E0424-E0487 Oxygen Delivery Systems and Related
  • E0621-E0642 Patient Lifts and Support Systems
  • E0950-E1036 Wheelchair Accessories

A Guide on Durable Medical Equipment Billing
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.

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
  • 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!

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
  • 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
  • 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.

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

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