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DME Billing Service

DME Billing Services

Leverage our DME billing services to increase collections, reduce billing errors, and streamline operations

Are you finding it challenging to stay current with the shifting DME billing landscape, thanks to the new regulations that are continually being introduced by policymakers? Are you worried about shrinking collections, the cost of training new hires for billing functions, increasing billing errors, and suspended operations when your staff goes on leave? Then, outsourcing DME billing services is your best option.

If neglected, all existing DME billing problems can escalate leading to more downtime and loss of revenue. If you are constantly bogged down by these challenges, then outsourcing your requirement to our DME billing company is your safest choice to bounce back from adversity. We never take a day off and work round the clock to bring you better reimbursements.

DME Billing Solutions We Offer

Lower reimbursements can be bad for revenue cycle management especially when the cost of durable medical equipment is skyward. We take radical care to review your claims before sending it to insurers. We proactively check policy compliances to ensure all documents are in place to avoid attracting audit. In case discrepancies are detected, we also recommend ways to rectify errors. Be it standardized or customized billing we have the expertise that you are looking for to handle an array of billing functions.

We offer the following DME medical billing services -

  • Documentation

    Documentation

    The key to decreased denial is to avoid missing key documents while filing claims. We maintain a document checklist that includes patient information, order entry data, as well as prescription and relevant diagnosis data. Once all documents are aggregated and verified, we proceed to file the claim.

  • Eligibility Verification

    Eligibility Verification

    Using a reliable verification software, we verify the eligibility criteria to ensure that applicant profile matches the minimum requirement norms of insurers. We also verify the claims to look for errors in the form fill-out.

  • Follow-up on Collection and Account Receivables

    Follow-up on Collection and Account Receivables

    Keeping track of collections can be a challenge amidst many other tasks, which is why we monitor your collections and receivables from multiple sources and maintain a comprehensive account of all captured payments.

  • Obtaining Service Authorization

    Obtaining Service Authorization

    Insurers are liable to pay clients only for DME services that do not fall under convenience or luxury purpose. The rules prohibit claimants from getting reimbursement for services availed without prior authorizations. So, we take secure authorization beforehand to avoid complications with payers.

  • Billing Audit

    Billing Audit

    To ensure a clean-claim process, we carry out billing audit by backtracking all processes from the creation of purchase order to invoicing the client. This prevents unnecessary discrepancies which may arise due to erroneous or double billing.

  • Denial Management

    Denial Management

    As part of our DME billing solutions, we provide effective denial management services when claims return to DME companies. Be it flaws in billing or documentation, we review the claim to find missing links and rectify the shortcomings before resubmission.

Apart from the above-mentioned services, we also have the required expertise to provide the following sub-services -

  • Follow-up on incomplete prescriptions
  • Follow-up for document collection
  • Error-free patient entry
  • Error-free sales order creation
  • Billing the HCPCS codes
  • Transaction audits in real-time
  • Primary and secondary insurance verification
  • Obtaining and extending authorizations
  • Open order edits and clean-up
  • Billing for CPAP machine
  • Rejection follow-up within 24 hours
  • Proactive RA follow-up
  • Payment posting to reflect accurate AR
  • Customized reporting (Monthly/Weekly/Daily)

We have strong domain expertise in handling claims for Oxygen/supplies, PAP (CPAP/BIPAP), Power Mobility Equipment, Enteral & Parental Nutrition, Diabetic shoes and supplies, etc. Our team is divided into three verticals, which include -

  • Revenue recovery team for Anthem Blue Cross
  • Revenue recovery team for federal Payers
  • Revenue recovery team for other Commercial Payers

DME Medical Billing Services Process We Follow

As a responsible DME billing outsourcing company, we follow unique steps which are straightforward and easy to validate. Here's thee steps we perform as part of our durable medical equipment billing services -

Sourcing Support Documents  

01. Sourcing Support Documents

Once you outsource DME billing services to us, we screen your insurer's requirement and begin gathering documents that are essential for claims processing. In this process, we also verify the accuracy of paperwork to avoid errors

Pre-authorization Support  

02. Pre-authorization Support

If you are in a dilemma whether authorization is required for services, it's time to consign your worries because we verify with payers if authorization is mandatory for services and if required we obtain authorization ahead of the service

Customized Billing and Patient Statements  

03. Customized Billing and Patient Statements

As a DME billing company which understands varying client preferences, we customize the bill just the way you want for your team to keep track of and efficiently utilize the data

Electronic Claims Filing  

04. Electronic Claims Filing

As a company with a global footprint, we inculcate claims filing practices that are up-to-date. Electronic submission of claims can put to rest all concerns about denial and unauthorized modification of claims. It also speeds up the time taken to get reimbursed

Routine Follow-up on Claims  

05. Routine Follow-up on Claims

After filing the claim, we keep a tab on the progress achieved in claims processing. We follow-up with payers on a regular basis to ensure good momentum and eventually, a clean-claim

Clock Service Support  

06. Round the Clock Service Support

We provide 24/7 support to clients anytime, anywhere because we preach and practice accountability for all projects we undertake. We got you covered when you need our help

24 hours
TAT
98% Accuracy 40% Cost Reduction 300+ Customers 23 years Experience

Customer-oriented healthcare outsourcing is our forte. Get in touch with us

Why Are We The Preferred DME Billing Company?

Billing functions, if done negligently, can result in delayed payment or worse, denial of claims. Dealing with returned claims can be costly and time-consuming. It can come in the way of generating revenue for the business. Most third-party DME billing companies only go as far as filing claims and forwarding them to the payers, mainly focused on fattening their own collections. But we go an extra mile in ensuring that the filing process is carried out with due diligence and completeness without you worrying about downtime when claims come back out of negligent billing practices.

Our efforts not only make us a technology driven company which has adopted all latest automated billing and verification tools, but also a partner who can work with you at the grassroots level to ensure your expectations are met in the best manner. Here are more reasons why you should partner with us for durable medical equipment billing services -

  • Safe and Reliable Billing

    When it is time to get paid, the focus turns to the accuracy of invoice. When invoices and supporting documents fail to justify certain services it becomes a financial burden for payers, which is why it is essential to produce bills with the highest level of accuracy and comprehensiveness. We file your claims electronically from a secure infrastructure with absolute internal control over billing functions.

  • Certified Coding and Billing Experts

    We understand the importance of having the right people responsible for coding and billing functions. With 8+ years of experience in the advanced billing software our coders and billers are certified professionals who are aware of the ICD-10, ICD-11, and DSM-5 coding conventions.

  • Customized Reports

    We provide highly customized financial reports that capture all collections in depth leaving no stone unturned. Our high-quality HIPAA-compliant services also come with weekly, monthly, and quarterly reports that can be useful for internal auditing and recordkeeping purposes.

  • Routine Payment Follow-up

    Revenue generation can suffer when payments are irregularly tracked. DME companies can lose thousands of dollars if they are busy to track the payments owed to them by clients and payers. This can be avoided by partnering with us because we dedicatedly follow-up on receivables to ensure your income is continuous.

  • Cost-effective DME Billing

    Our team of medical billing and coding experts provide global clients with highly cost-effective DME billing services. We not only believe in providing our clients with affordable services but also help them with ways to improve their business revenues.

  • HIPAA Compliant Processes

    Our DME billing processes are all HIPAA compliant and you can be assured that all the critical information we deal with are completely safe and away from any unauthorized access at all times.

  • Customized Communications

    Clarity in communication is absolutely essential to foster a good relationship with clients. Be it statements or claims form, we take the responsibility to customize the missive in a way that matches the client's requirement. This allows them to easily share the same with their partners and stakeholders without hassles.

  • Continuous Staff Training

    Our job is not just limited to DME billing and coding. We also offer high-quality training for your staff so that they accurately perform the groundwork such as collecting and scanning the documents, checking for errors, etc. When errors are spotted at the source, it mitigates chances of denials.

  • 24/7 Remote Access to Financial Records

    When you want access to all billing records on the go we offer a convenient way to let you stay on top of every record anytime, anywhere through the Internet.

  • Electronic Claims Filing

    No more unnecessary delays and anticipation on the claims status, thanks to electronic claims submission - a step closer to accurate and safer way of filing claims. Electronically filing claims can help you circumvent unnecessary paperwork which is otherwise prone to damage or misplacement.

  • Process Transparency

    It is important for us to let our customers have peace of mind while working with us. So, we populate our reports with reliable information on all payments and the progress achieved in the process.

  • Free Trial

    Our team of experienced medical billing and coding experts can provide you with a free trial of our services. Once you approve of the quality of services we provide, you can outsource the entire project to us.

  • Latest Software

    We leverage the latest and updated versions of the best DME billing software such as Brightree and Health Fusion. We can help you enroll your practice into any of the new software as per your requirements.

  • Easy Sharing of Files

    We understand the importance of the privacy and confidentiality of the patient and hospital data. We use secure FTP and other safe file transfer applications which ensure that all your files are completely safe with us. We can also remotely log in to your system and work on the files.

Benefits of Outsourcing DME Billing to Us

Benefits of Outsourcing DME Billing

Additional Services You Can Benefit From

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Client Success Stories

Case Study on Accounts Receivables Management & Medical Billing

AR Management and Medical Billing

Our team of medical billing experts provided a Maryland-based client with high-quality AR Management and medical billing services. Our services brought down their AR days down from 34 to 23 and increased their collection percentage from 53% to 61% in just six months.

Read more
Case Study on Accounts Receivable Services

Case Study on Accounts Receivable Services

From this case study, you'll learn how we helped a healthcare company's accounts receivable and cash flow to recover.

Read more

Testimonials

Hello, I wanted to reach out to you directly and express my gratitude on the hard work that the Data team as well as the AR team has done with EJ practice. I have pushed both teams extremely hard over the past month and their efforts, as well as ours, have paid off.

RCM Account Manager, EMR System Provider, FL, USA More Testimonials »

Outsource DME Billing Services to US - The Leader in Medical Billing & Coding

Outsource2india is a trusted name when it comes to medical billing and coding services. As a 23-year-old ISO-certified provider of DME billing services with extensive experience working on thousands of hours' worth of DME billing projects, we have enjoyed being at the apex of this industry. We use cutting-edge billing tools to offer cost-efficient billing services which can bring you the best value time and cost-wise. With us, you can achieve -

  • Significant cost-savings
  • Quicker turnaround times
  • Reduced denials

If your objective is to secure maximum reimbursement and bring profits to your revenue cycle management, take the best step by choosing a partner like us which is backed by the latest IT infrastructure to handle any billing requirements. Get in touch with us and we will provide a free customized quote within 24 hours.

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