40, Jones Street, Jersey City, NJ 07306 USA
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info@careeohealthcare.com

Most Efficient Medical Billing

We bring the right processes,technologies & experience people to streamline your revenue cycle so you can deliver finer service care to your patients

DME & HME BILLING

We help you become more profitable by outsourcing or enhancing your existing HME and DME billing processes.

Providing billing services for Durable Medical Equipment (DME), or Home Medical Equipment (HME) as they are sometimes called, can be a time-consuming and tedious affair. Among other things, it requires in-depth knowledge of reimbursement guidelines of Medicare, Medicaid, and Commercial Plans, and their caveat. DME billing also requires a constant adherence to quality and staying abreast of all the changes happening in reimbursement regulations and coding & documentation requirements.

Our experience shows that the process for DMEPOS billing can be cumbersome due to its inherent nature, viz. the order getting generated from a physician’s office. This increases complications and the turn-around time as dependencies increase.

Prosthetics & Orthotics, DME companies need to devote much time coordinating and communicating with the ordering physician’s office for a valid Rx, medical/therapy notes, etc. Equipment that requires prior authorization also involves innumerable follow-up calls. This is managed effectively by us through our methodical and streamlined process that tracks each request in detail ensuring timely follow-up. Payer guidelines are specific to the diagnosis and a thorough knowledge of this result in drastically reducing denials. Our diligent physician and payer follow-up activities also help reduce turn-around time in DME billing and improve cash flow. The process starts with the entry of orders and ends when the account has zero balance. This includes conducting eligibility checks, obtaining authorization, creating sales orders, scheduling delivery, submitting claims, managing rejections, and denials, and proactively following-up AR.