Durable Medical Equipment Billing is managing the overall activities that take place, to claim for the equipment, that the eligible patient needs to rent or purchase. There is a considerable sum to be paid for even renting the item for a limited time. Thus, for the patient to get some relief from the financial crisis, the insurance companies/payers step in.
The documentation and every minor detail have to be clearly monitored as any misplaced document, or incorrect information or coding can directly lead to higher chances of denial for claims.
We have 5+ Years of experience working with DME Suppliers & Products billing with a team size of 6.
Below are some of the supplies / equipment's we dealt with.
Walking Aids and Attachment
Commode Chair and Supplies
Pressure Mattresses, Pads and Other Supplies
Hospital Beds & Associated Supplies
Oxygen Delivery Systems and Related Supplies
Patient Lifts and Support Systems
Wheelchair Accessories
Orthotic Supplies
Healthcare Common Procedure Coding System (HCPCS) is a standard code built 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.
There are few frequently used HCPCS codes which target the problems coming under the Durable Medical Equipment billing. Some of the commonly used ones are below.
Walking Aids and Attachment
Commode Chair and Supplies
Pressure Mattresses, Pads and Other Supplies
Hospital Beds & Associated Supplies
Oxygen Delivery Systems and Related Supplies
Patient Lifts and Support Systems
Wheelchair Accessories
From encrypting the information to give the details needed for any particular Durable Medical Equipment, modifiers can be used with HCPCS codes. A modifier is used to provide more information. There are many keywords that are used but below mentioned are some of the widely used modifiers.