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DME Billing Services

Outsource DME Billing Services

Tackle Complex Coding, Reduce Denials.

Deploy our secured, HIPAA-compliant DME billing services to ensure timely follow-ups and accurate claim management.

Navigating the complexities of Durable Medical Equipment (DME) billing can be a daunting task for healthcare providers. Minor errors can lead to claim rejections, delayed payments, and lost revenues. We specialize in offering tailored, HIPAA-compliant DME billing services, enabling you to focus on providing superior patient care.

Our certified experts efficiently handle coding, compliance, and resource demands, reducing the risk of errors. We provide timely follow-up on incomplete prescriptions, ensure error-free patient entries and sales order creation. We diligently manage document collection, primary and secondary insurance verification, including rental items, and authorization obtainment.

Our streamlined operations expedite reimbursements, minimizing the impact of delayed payments on your cash flow. We execute real-time transaction audits and timely claims submission, coupled with swift rejection follow-ups. Our denial management focuses on detailed analysis, resolving claims promptly to enhance acceptance rates.

We also manage open order audits, CPAP user compliance tracking, and counselling calls to non-compliant patients. Our services are scalable, adapting effortlessly to your evolving needs. Finally, we offer customized reporting for transparency.

Partner with us to alleviate DME billing burdens, ensuring accurate claims, timely reimbursements, and financial stability. Let our expertise in DME billing bolster your operations while you concentrate on patient care.

DME Billing Solutions We Offer

With a dedicated team of seasoned experts well-versed in the nuances of DME billing, we bring over two decades of experience to your practice. Our certified coders, billers, and administrative professionals work tirelessly to ensure the accuracy and compliance of your billing processes. Check out the list of solutions healthcare practices derive by partnering with us -

We offer the following DME medical billing services -

  • Claims Submission

    Claims Submission

    Partner with our expertise to ensure accurate and timely submissions, reducing claim denials and maximizing revenue. Our specialized experts incorporate data entry, coding expertise, and real-time tracking to streamline the process, allowing you to focus on patient care.

  • Insurance Verification

    Insurance Verification

    Experience a seamless revenue cycle with our DME insurance billing expertise. We meticulously validate patient coverage, minimizing payment delays and claim rejections. Our method incorporates advanced technology and direct liaisons with insurers, ensuring accurate and current data, bolstering your financial security.

  • Order Verification

    Order Verification

    Our order verification service guarantees precise management of DME orders. By outsourcing, you eliminate errors, ensuring timely and compliant processing. We integrate stringent quality checks and expert oversight, minimizing discrepancies and enhancing operational efficiency so you can confidently meet patient needs.

  • Coding Services

    Coding Services

    Leverage the expertise of our coding solutions to ensure adherence to coding standards and minimize errors. Our approach involves certified coders well-versed in the latest coding conventions, guaranteeing compliance and optimal reimbursement, bolstering your financial health.

  • Claim Follow-Up

    Claim Follow-Up

    Maximize revenue by entrusting claim follow-up to us. We ensure diligent tracking of claims, reducing payment delays. This includes persistent follow-up with payers, swift resolution of issues, and proactive collection efforts, providing a consistent and robust revenue stream and easing financial concerns.

  • Data Capture

    Data Capture

    Efficiently manage patient data with our data capture service. Outsourcing this task ensures accuracy and organization, reducing administrative burdens. Our approach utilizes advanced data capture technology and expert data entry professionals to streamline the process, saving you time and resources while maintaining data integrity.

  • Practice Statements

    Practice Statements

    Enhance practice financials with our assistance. Get access to clear, concise, and accurate patient billing statements. Our approach combines automated statement generation with personalized patient communication, reducing confusion and improving patient payment compliance, boosting your revenue stream.

  • Denial Management

    Denial Management

    Optimize revenue by entrusting denial management to us. Deploy our specialization to handle claim denials and appeals, reducing revenue loss efficiently. Our approach involves thorough denial analysis, expert resubmission, and proactive prevention measures, enhancing your revenue while minimizing the administrative load on your staff.

  • Claims Filing Assistance

    Claims Filing Assistance

    Streamline the claims process with our professional expertise to ensure accurate and timely submissions, reduced denials, and optimized revenue. Our approach combines meticulous data entry, coding expertise, and real-time tracking, providing you with a seamless and efficient claims filing process.

  • Custom Report Development

    Custom Report Development

    Enhance your practice's decision-making with our expertise to ensure tailored insights for strategic planning. This includes collaborative report design, data analysis, and visualization, providing you with actionable data to drive practice growth and financial success.


Process We Follow for Our DME Billing Services

 

01. Obtain Patient and Coverage Details

As the first step, we collect patient information, including personal details and insurance coverage.

 

02. Validate Coverage with Insurance Companies

Next, we verify patient insurance coverage by contacting the respective insurance companies.

 

03. Confirm Coverage for All Procedures

Post-verification, we ensure that the insurance coverage includes all the DME procedures or items being billed for.

 

04. Check for the Patient's Contribution

Then, we determine if there is any patient responsibility, such as co-pays or deductibles, and calculate the amount.

 

05. Report Findings to the Patient/Practice

Next, we communicate the coverage details and any patient responsibility to the patient and the healthcare practice to set clear expectations.

 

06. Timely & Accurate Billing & Collection

As the final step, we initiate billing precisely, track claim statuses, and ensure timely collections for patient payments and insurance reimbursements.

Our Clientele Includes

 Hospitals
 Clinics
 Home Health Agencies
 DME Suppliers
 Hospice Care
 Orthotics and Prosthetics Practices

Why Choose Us as your DME Billing Company?

We prioritize diligence and completeness to prevent downtime caused by returned claims due to negligent practices. What sets us apart is our commitment to being a technology-driven company and a hands-on partner invested in your success. Here are compelling reasons why you should choose us for your Durable Medical Equipment (DME) billing services -

  • Information Security

    Your patients' data and medical records are our top priority. We are an ISO/IEC 27001:2013 ISMS-certified organization, ensuring the utmost security and confidentiality of all sensitive medical information.

  • HIPAA Compliance

    As an experienced DME billing company, our commitment to data security starts with signing the HIPAA agreement. Rest assured, your patient data and medical records are safeguarded and never disclosed to third parties for any reason.

  • Reduction in Claim Denials

    Coding flaws and data inaccuracies often lead to claim denials. With our proficient billing and coding team, you'll witness a significant reduction in claim denials within a short span.

  • Regular Reporting

    Stay informed about your claims' status with our regular reporting. Our daily, weekly, and monthly progress reports provide insights into productivity, procedure code analysis, projections, and any pending issues.

  • Process-driven Approach

    Our meticulously designed process includes critical steps such as Insurance Eligibility Verification, Patient Demographic Entry, CPT (Current Procedural Terminology)/ ICD-10 Coding, Charge Entry, Claims Submission, Accounts Receivables Follow-up, Payment Posting, Denial Analysis, and Accounts Receivables Management.

  • Easily Scalable

    We have the resources and expertise to seamlessly scale up your medical billing and coding services as your needs evolve.

  • Single Point of Contact

    When you choose us, a dedicated project manager becomes your single point of contact, ensuring effective communication and regular updates on project developments.

  • 24/7 Availability

    We understand that your needs may arise at any time. That's why we provide round-the-clock support. Our call center agents, sales teams, and managers are available 24/7 to promptly address your queries and resolve any issues.

  • Affordable Pricing

    Partnering with us for your DME billing needs is efficient and cost-effective. We offer budget-friendly pricing options that align with your financial constraints and business requirements.

Additional Services You Can Benefit From

Medical Transcription Services

Outsource your medical transcription needs to us for reliable, accurate documentation. Free up staff time for patient care with our precise and timely transcriptions.

Medical Billing Services

Maximize revenue and ensure compliance with our HIPAA-compliant medical billing solutions. Let experts navigate billing complexities while you focus on care.

Revenue Cycle Management Services

Our seasoned professionals manage revenue cycles efficiently, optimizing financial processes and maximizing revenue for your healthcare entity.

Pharmacy Business Services

Streamline pharmacy operations and boost profitability with our comprehensive pharmacy business services, from inventory management to compliance.

Healthcare Claims Adjudication Services

Efficiently process claims and receive payments with our experienced claims adjudication services, supporting your business growth.

EMR Services

Experience efficient EMR services that organize and secure patient information, enhancing patient care and decision-making with advanced technology.

Telehealth Services

Access innovative telehealth services experienced medical professionals provide, improving healthcare accessibility and convenience.

Medical Animation Services

Engage and educate with our 24+ years of experience creating visually appealing and informative medical animations, simplifying complex concepts.

Client Success Stories

Case Study on ICD-10 Implementation for Medical Billing Firm

Successful ICD-10 Implementation for Florida Medical Billing Company

Discover how we assisted a Florida-based medical billing company with successfully implementing the ICD-10 system. The tailored solution allowed a smooth transition for the client, meeting all compliances, which resulted in increased accuracy and savings. The flawless transition led to a 40% revenue increase within six months.

Read more
Case Study on Research & DME Billing

Empowering a California-Based DME Consulting Firm with Focused Insurance Data

Check out how our expert team quickly provided state specific DME billing data, enabling the client to negotiate EndoPAT insurance coverage successfully.

Read more

Testimonials

I want to thank you both for the great job you are doing. I could not have been happier with my decision to work with you. I am looking forward to our continued relationship and growth.

Owner,
Medical Billing Services Company, California, USA
More Testimonials »

Maximize Revenue by Outsourcing DME Billing Services to Us

Our DME billing services are specifically designed to meet the unique needs of your healthcare establishment. Regardless of whether you're a large-scale medical institution or a solo practitioner without an internal billing department, we're committed to offering bespoke solutions that precisely match your requirements.

We guarantee accurate documentation, thereby alleviating concerns of claim rejections and insufficient reimbursements. Our team diligently prepares your claims with the accurate codes, submits them, and pursues the concerned insurance authorities to secure the highest possible reimbursements.

We are steadfast in our mission to optimize your billing process. By conducting a comprehensive examination of your practices to identify potential inefficiencies and replacing them with streamlined processes, we ensure your billing is neither overcharged nor undercharged. Any mistake in the bill can lead to claim rejections, and our role is to prevent that from happening.

As a premier provider of DME billing services, we are proud of our highly skilled billers and coders. They are adept at identifying and addressing reasons for claim denials, resubmitting claims, and ensuring timely reimbursements.

Collaborating with us not only enhances your billing process but also significantly elevates your DME revenue. With our expertise, you can anticipate a substantial increase in successful claim settlements, increasing your DME revenue by an estimated 20%.

Our commitment to upholding the strictest HIPAA compliance standards is unwavering, aiming not just to protect patient information but also to offer peace of mind. Our SOC2, HIPAA, and ISMS (Internet Security Management System) certifications are a testament to our dedication to robust data security measures and compliance with regulations. We champion transparency and are open to sharing these certifications with you.

Contact us now to reduce infrastructure costs and assure a boost in revenue.

Allow us to navigate the intricacies of DME billing, enabling you to concentrate on what's truly important—delivering excellent patient care.

Contact Us

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Decide in 24 hours whether outsourcing will work for you.

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Flatworld Solutions Address

USA

116 Village Blvd, Suite 200,
Princeton, NJ 08540

Our Customers

  • Movement Mortgage
  • Alcon
  • ARI
  • Maximus
  • Redwood E-Learning Systems

Frequently Asked Questions (FAQs)

What is DME billing, and why is it important for healthcare businesses?

DME billing, or Durable Medical Equipment billing, involves accurately documenting and submitting claims for medical equipment provided to patients. Healthcare businesses must ensure timely reimbursement and compliance with regulations, ensuring financial stability and quality patient care.

What are the benefits of outsourcing DME billing services?

Outsourcing DME billing services offers several advantages, including reduced administrative burden, increased revenue, improved accuracy, access to specialized expertise, and enhanced compliance. It allows healthcare providers to focus on patient care while experts handle billing complexities.

Do we offer customized DME billing solutions based on your business needs?

Our DME billing services are tailored to meet your unique business requirements. We assess your specific needs and design a billing solution that optimizes revenue, streamlines processes, and ensures compliance with industry standards.

Do we incorporate technological expertise in offering DME billing solutions?

Absolutely, we leverage innovative technology to enhance the efficiency and accuracy of our DME billing services. Our team utilizes advanced software and tools to streamline billing processes, reduce errors, and expedite reimbursements for your healthcare business.

Are our DME billing services cost-efficient for your business?

Our DME billing services are designed to be cost-effective. By outsourcing, you eliminate overhead costs, reduce staffing expenses, and minimize billing errors, leading to increased revenue and long-term financial benefits.

How do we ensure the protection of patient information?

Patient confidentiality and data security are paramount. We adhere to stringent HIPAA regulations and employ robust data encryption and secure storage practices. Our staff is extensively trained in privacy measures to safeguard patient information.

How do you get started with our DME billing services?

Getting started with our DME billing services is easy. Just contact our team, and we will conduct a thorough consultation to understand your needs. From there, we'll create a tailored plan, ensure a seamless transition, and optimize your DME billing processes for enhanced financial performance.