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DME Billing Services
Basics to Open DME Business
A DME (Durable Medical Equipment) business is a company that deals in healthcare-related items intended for use in the home for an extended period. There are multiple products in DME e.g., wheelchairs, glucose monitors hospital beds, and nebulizers, etc. These products are often covered by insurance plans and Medicare that the equipments are planned for long-term use. Starting a DME business allows you to sell and distribute durable products to those who require them, you…
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DME Billing Services
DME Repairs and Maintenance
Durable Medical Equipment at some point needs DME Repairs and Maintenance from your DME supplier. Repair: DME repairs by a DME supplier include fixing equipment that is damaged or worn. Maintenance: This simply means cleaning, checking, and servicing the patient’s DME. If possible, patients are expected to do regular maintenance themselves using the owner’s manual. But DME suppliers are expected to perform maintenance if the task is more complicated and requires a professional. Providers need…
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DME Billing Services
Know your DME HCPCS Codes
In DME medical billing, your DME coders require correct HCPCS codes along with correct modifiers that are used for providing more details about the equipment. If your medical coders are unable to use modifiers or not using them in the correct manner, then the claims may get denied from the insurance company. Some common DME modifiers which include RR- rental, UE- purchase of used equipment, and NU- purchase of new equipment. When a laboratory demand,…
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DME Billing Services
CMS announcement for durable medical equipment suppliers
The Centers for Medicare & Medicaid Services (CMS) announced updated guidance regarding several emergency waivers related to Medicare and Medicaid policies and regulatory updates during this pandemic for durable medical equipment suppliers. The CMS very likely will continue to announce supplemental guidance on the blanket waivers. Here we have a detailed summary of the relevant waivers that will affect durable medical equipment suppliers, prosthetics, orthotics, and supplies (DME) and are projected to prepare the American…
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DME Billing Services
DME Prior Authorization Programs – GAO
According to the analysis of GAO, CMS’s prior authorization programs for durable medical equipment (DME) created an estimated $1.9 billion in Medicare savings. CMS’s prior authorization programs for durable medical equipment (DME) and mobility devices have controlled unnecessary spending, according to a new Government Accountability Office (GAO) report. This was created between $1.1 and $1.9 billion in Medicare savings from 2012 to 2017. Prior authorization is a payment approach used by private insurers that generally…
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