WHAT IS DME?

Durable Medical Equipment (DME) is a therapeutic item that is prescribed by the physicians to patients that are suffering from a certain medical condition. Beyond reasonable medical needs or necessity, a provider cannot offer these items before following a comprehensive DME billing process.

CPAP, Nebulizers, kidney machines can be some of the examples of durable medical equipment. A major chunk of Durable Medical Equipment is usually aimed at extending therapeutics relief for patients with a long term critical condition. Items under DME are durable for an extended period of operations.

WHAT IS DME BILLING?

After the invoice is coded, it is important to collate all the documents and continue the process of claims submission. Missing documents or not having prior knowledge of payer requirements, can be the reasons for higher rates of denial. Clean claims can reduce denials, days in A/R, and guarantee improved cash flow. DME billing is the process of effectively managing the front and back end activities needed to submit and get paid for a claim from the insurance.

WHAT IS DME CODING?

Medical coding is a specialized segment and coders who work will know all the directory of codes that are used under the DME services. It translates the procedure involved and is helpful for providers and distributors track the billing for fast-tracking the claim. An example of the HCPCS code for CPAP is E0601.

 
 

THE XyberMed ADVANTAGE IN DME BILLING SERVICES

A 97% first pass collection rate which is one of the highest in the industry due to our stringent pre-billing services (eligibility, prior authorization, doctor’s office follow-up, order entry & confirmation), we eliminate any future issues with claims getting denied.  XyberMed is an expert when it comes to ordering processing services!