DME billing Archives - Read our latest DME billing and coding blogs

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 […]

Streamline Your DME Billing with Standard Written Order (SWO)

Efficient Durable Medical Equipment (DME) billing is crucial for DME suppliers to maximize revenue and maintain compliance. One essential component of the billing process is the Standard Written Order (SWO). In this blog, we will explore into the significance of the SWO and how it benefits DME suppliers. Medical Billers and Coders (MBC), a leading […]

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

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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 […]

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 […]

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. […]

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 by the insurance company. Some common DME […]

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