Author Topic: Difference in DME billing  (Read 2579 times)

Antony sequeira

  • Newbie
  • *
  • Posts: 5
Difference in DME billing
« on: June 12, 2014, 03:28:00 AM »
Hi All,

I was trying to find out "how does DME billing differ from the regular Medical billing", i have been searching all over the internet but was not rewarding.

Thanks in advance.

Regards,
Antony Sequeira

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: Difference in DME billing
« Reply #1 on: June 12, 2014, 01:47:02 PM »
It doesn't necessarily differ any more than any specialty differs in that it is billed on CMS 1500's.  Every specialty has it's own quirks.  DME uses HCPCS codes instead of CPT codes but they use ICD9's for dx codes.  There are some other things too like rentals, etc.  that require special handling.  Many times the DME must be ordered by a physician.  I'm sure there are a lot of other things, but those are the most basic obvious differences that I see.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

Antony sequeira

  • Newbie
  • *
  • Posts: 5
Re: Difference in DME billing
« Reply #2 on: June 13, 2014, 06:50:22 AM »
Thank you Michele for the speedy answer :)

Antony

DMK

  • Hero Member
  • *****
  • Posts: 680
Re: Difference in DME billing
« Reply #3 on: June 13, 2014, 01:22:56 PM »
I have to say that from all the posts I read regarding DME billing (I don't bill it, but I'm always trying to learn) it's all about having the right requests, authorizations, and delivery paper trails.  Since it's objects, not services, the paper trails and signatures along the way seem to be the biggest bugaboo.

kristin

  • Hero Member
  • *****
  • Posts: 703
Re: Difference in DME billing
« Reply #4 on: June 13, 2014, 09:24:03 PM »
Another difference, and one that I see a lot of questions on in various forums, is that for Medicare patients, the claim does not go to the local MAC, it goes to the local DMERC for processing.

Medical Billing Forum

Re: Difference in DME billing
« Reply #4 on: June 13, 2014, 09:24:03 PM »

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: Difference in DME billing
« Reply #5 on: June 16, 2014, 09:54:48 AM »
Good point kristin!  I forgot to mention that.  That seems to be a concept that is hard for some to grasp. It's still Medicare but equipment is billed under DMERC.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

Medical Billing Forum

Re: Difference in DME billing
« Reply #5 on: June 16, 2014, 09:54:48 AM »