DME Billing and Coding Process

DME Billing and Coding Process

At Technical Advantage Services, we understand the importance of accurate and efficient Durable Medical Equipment (DME) billing and coding. Our team of experienced professionals is well-versed in the complex coding and documentation requirements associated with DME claims. We work closely with your practice to ensure that all necessary information is obtained and that claims are processed accurately and efficiently. Here’s our high-level process:

• Review of Documentation: Our team will review all documentation related to the DME claim, including physician orders, medical records, and supplier documentation. For example, if a patient requires a wheelchair, we will review the physician’s order for the wheelchair, the patient’s medical records to ensure that the wheelchair is medically necessary, and the supplier documentation to ensure that the wheelchair meets the specific requirements of the insurance provider.
• Assigning Codes: Once we have reviewed all necessary documentation, we will assign the appropriate codes for the DME equipment. For example, if a patient requires a CPAP machine for sleep apnea, we will assign the appropriate HCPCS code for the machine and any necessary supplies. We will also ensure that the codes meet the specific requirements of each insurance provider.
• Follow-up and Appeals: Our team will follow up on all DME claims to ensure that they are processed in a timely manner. If a claim is denied or requires an appeal, we will handle the process on behalf of your practice. For example, if an insurance provider denies a claim for a wheelchair, we will review the denial reason and work with the supplier and physician to provide any additional documentation necessary for an appeal.

Throughout the billing and coding process, we will work closely with your practice to ensure that all necessary documentation is obtained and that any issues are addressed promptly. Our team will also handle any denials or appeals, ensuring that your practice receives the maximum reimbursement possible. By utilizing our DME billing and coding services, you can rest assured that your claims will be processed accurately and efficiently, reducing the risk of claim denials and delays. Contact us today to learn more about how our DME billing and coding services can benefit your practice.

To learn more about what we do, refer to the services below:

• DME Document Review Services
• Home Medical Equipment (HME) Billing Services
• Prior Authorization for Medicare Coverage
• DME Pre-Medical Billing Services
• DME Post-Medical Billing Services