With over 19 years of experience in Durable Medical Billing (DME) through errors and compliances, we have understated few path for DME clients. Every month we add new clients with thousands of dollars are lost in mishandling and unpaid claims in numerous fields of healthcare, including Durable Medical Equipment (DME). Added to this is the […]

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It is a well-known fact that DME billing can be nerve racking, given the changing regulations and rules not just by federal agencies but also payers. Moreover, the DME categorization and its usage given “medical necessity” and the pre-authorization and authorization requirements can be tedious and time consuming to incorporate when dealing with documentation. Hence, […]

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Durable Medical Equipment, as the name implies is medical equipment that is necessary for patients over a period for supportive medical care. Billing for DME is a complicated process that involves patient validation, getting prior authorizations for DMEs exceeding the allowed limit if rented or purchased, using correct forms for claims submission (electronic or paper), […]

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Consciously or unconsciously, physicians or their staff may unknowingly be active or passive participants in Medicare fraud, waste, and abuse. Recent figures on the Medicaid program illustrate the scale of the problem. According to the Centers for Medicare & Medicaid Services (CMS), the cost of medical coverage in fiscal year (FY) 2015 was $547.7 billion. […]

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