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 […]

3 Tips to Analyze Payer Reimbursement for DME

Some things in life are very easy and straightforward. Unfortunately, purchasing things such as splints, prosthetics, and durable medical equipment (DME) – and determining which orthotics are covered by insurance – isn’t so cut and dried. In fact, a lot can go wrong when it comes to orthotics and prosthetics billing. So, to make sure your […]

Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule Update 2019

CMS happens to announce in the year 2019 about Medicare fee schedule rates for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). The 2019 update factor is 2.3%, although other pricing policies are applied in specific circumstances. The DMEPOS and PEN fee schedule files contain the Healthcare Common Procedure Coding System (HCPCS) codes that are […]

Advantages of Online Durable Medical Equipment’s (DME) Shops

It’s estimated that even more people will opt into online durable medical equipment’s and supply for the delivery. Since 2007, the industry has nearly doubled in size, with more people choosing it as their primary method for getting supplies; it has been witnessing a constant rise in DME billing too. The increase in in-home care […]

Which DME medical supplies are covered by Medicare Part B?

Durable Medical Equipment Billing is somewhat unique if we compare it with other specialty billing. Basically, Durable Medical Equipment (DME) gives therapeutic benefits to patients experiencing certain healing conditions and/or some diseases. So a DME is built to serve the medical purpose of patients for regular use at home or in a hospital or any […]

Durable Medical Billing (DME) facilities need outsourcing medical coding?

With over 19 years of experience in Durable Medical Billing (DME) through errors and compliances, we have understated a few paths 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 […]

3 most commonly used software for DME billing

DME(Durable Medical Equipment)s are prescribed by medical practitioners for inpatient or outpatient use and needs to be approved by the patient’s insurance. Why is it necessary to install the correct billing software, especially when you are in DME practice? Well, ensuring you are compliant at every step in your DME billing process is very essential […]

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