Comprehensive DME Billing Services – Enhance Revenue with Precision
DME billing isn’t a simple submission process — it’s a multi-step workflow that must comply with strict insurance and Medicare rules. Several unique challenges make this domain demanding: Frequent policy updates from CMS (Centers for Medicare & Medicaid Services) Strict documentation requirements including medical necessity proof and doctor prescriptions Rental vs. purchase billing confusion, as many DME items are rented first and later converted to purchase HCPCS code management (Healthcare Common Procedure Coding System) with numerous modifiers Pre-authorization requirements from private payers Audit risks due to regulatory scrutiny