Reducing Claim Denials and Rejections with Expert DME Billing Services

Handling Durable Medical Equipment (DME) claims can be challenging, but Expert DME Billing Services can help reduce claim denials and rejections. Many providers face issues due to incomplete documentation, incorrect coding, or lack of insurance verification. Healthcare providers can maximize reimbursements and maintain a steady revenue stream by improving billing accuracy and following best practices. […]

CMS Expands Telehealth for DME: What It Means for Your Reimbursements in 2025

As CMS Expands Telehealth for DME in 2025, durable medical equipment (DME) providers must adapt to new reimbursement policies and compliance requirements. This expansion aims to improve patient access while ensuring proper documentation and billing procedures. Understanding these changes is crucial for maximizing revenue and minimizing claim denials. Key Changes in CMS’s 2025 Telehealth Expansion […]

Outsourcing DME Billing can Eliminate Your Billing Woes

Durable Medical Equipment (DME) billing is a complex and time-consuming process that requires specialized knowledge and expertise. Outsourcing DME billing to a third-party service provider can offer several benefits for healthcare providers and medical equipment suppliers, including: Benefits of Outsourcing DME Billing Increased Expertise and Efficiency DME billing requires specialized knowledge of Medicare, Medicaid, and […]

Appropriate Use of Medicare Modifiers for Oxygen Flow Rate

Medicare Coverage for Oxygen and Oxygen Equipment Before discussing Medicare modifiers for oxygen flow rate, let’s understand Medicare payment for oxygen and oxygen equipment. Medicare pays a monthly fee schedule amount for oxygen and oxygen equipment per beneficiary. For stationary oxygen equipment, this monthly fee schedule amount covers the oxygen equipment, contents, and supplies and […]

Questionnaire to Decide Medicare Secondary Payer (MSP)

The following questionnaire contains questions that can be used to ask Medicare beneficiaries upon each inpatient and outpatient admission. Providers may use this as a guide to help identify other payers that may be primary to Medicare. This questionnaire is a model of the type of questions that may be asked to help identify Medicare […]

Benefits of Outsourcing DME Billing to Improve Your Revenue

As any durable medical equipment (DME) provider will confess, securing reimbursements from Medicare and private insurance carriers is one of the biggest challenges of running a DME business. It’s time-consuming and labor-intensive, and for all their effort, DME providers don’t always get full reimbursements. If not paid attention, inaccurate DME billing could lead to lower […]

New CMS Proposals Streamline Medicare Coverage for Innovative and New Diabetes Devices

Lately, CMS has proposed new changes to Medicare Durable Medical Equipment, Prosthetics, Orthotic Devices and Supplies (DMEPOS) coverage, and payment policies. These proposed new changes will streamline Medicare coverage for innovative and new diabetes devices and this brief will help you to understand “How”. The proposed rule for innovative and new diabetes devices New CMS […]

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