• Common Modifiers for DME

    When billing for durable medical equipment (DME), use the appropriate HCPCS code and modifier(s) to describe the items being billed. Also, include an ICD-9/ICD-10 diagnosis code indicating the medical condition for which the item has been prescribed. In addition to an appropriate HCPCS code for the DME item, many HCPCS codes require a modifier. The modifiers are used to provide more information about the item. For example, the modifier may tell HMSA that an item is new, used, or rented on a capped basis. For capped rentals, modifiers distinguish which month’s rental is being billed. If these modifiers are used incorrectly or missing, the claim may be denied. To expedite processing of your claims, please indicate the first-month rental by including the appropriate modifier code, and bill your claims in sequential order. Inexpensive or Routinely Purchased DME Inexpensive DME-This category is defined as equipment whose purchase price does not exceed $150. Routinely Purchased-This category consists of equipment that is purchased at least 75% of the time. Payment for this type of equipment is for rental or lump-sum purchase.  The total payment may not exceed the actual charge or the fee for purchase. Common modifiers used in this category are: RR…

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  • DME Billing Services

    Why are DME suppliers favoring Billing companies?

      Going outsource from your local demographics to attain a higher return on investment is the latest trend engulfing healthcare units, clinics, hospitals and outpatient facilities in the U.S. Partnering medical billing companies help Physicians to effectively survive and make an impact in tough economic clout, as they are specialists in resolving delayed payment issues, lagging A/R days, denial and follow-up management and most importantly cut down the errors in medical billing and coding of your DME supplies. What did you get with a DME Medical Billing Agency? DME medical billing agencies provide practitioners and insurers quick access to talented resources, which are prepared to execute assigned tasks immediately. Value added services with satisfactory results are the need of the hour for many DME suppliers. Hiring a company that only deals in delivering revenue based result not just emphasizes the cash flow, but brings to fore a streamline and combined effort to desired results. These billing companies provide end-to-end and a comprehensive medical billing service. They also take up short term projects helping in clearing the A/R back-logs, as DME billing agencies are flexible and quickly adopts changes to provide good process results. Keep in mind that a good company…

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