Author Topic: Newbie Trying to start up  (Read 4447 times)

mlranson

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Newbie Trying to start up
« on: September 02, 2009, 11:56:13 AM »
Hi Everyone

I have 8 years in the medical field and 4 years as a medical biller and coder and processing claims at my job.  I have confidence that I can do this myself from home.The type of business that I work for we bill durable medical equipment for DME providers to Medicare, Medicaid and all private insurancesand we do 47 states, and that is what I would like my own business to consist of.   I am not trying to jump into all states at one time. I will like to stick to my home state, Missouri and branch out when I am able to handle more or just stick one state. What software would you guys suggest? I will appreciate all feedback. Thanks in advance
 :)

PMRNC

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Re: Newbie Trying to start up
« Reply #1 on: September 02, 2009, 12:44:41 PM »
Well... I always say.. if you can bill DME.. you can bill anything <g>
Don't limit yourself however if you plan to start your own business. JMO!
Linda Walker
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mlranson

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Re: Newbie Trying to start up
« Reply #2 on: September 02, 2009, 01:04:35 PM »
Really? So DME is "harder" than others?  I didnt know that.  That is the only experience that I have but would love to branch out.  Do you have any recommendations for software?

Pay_My_Claims

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Re: Newbie Trying to start up
« Reply #3 on: September 02, 2009, 02:17:15 PM »
another DME biller............welcome!!! 47 states U go. What part of DME do you bill? I am mostly  Custom Rehab.  Also the software is different from DME and medical.

mlranson

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Re: Newbie Trying to start up
« Reply #4 on: September 02, 2009, 02:26:33 PM »
At my current job, we bill anything from a walker up to a bariatric hospital bed we also do oxygen, cpaps, and bipaps.

PMRNC

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Re: Newbie Trying to start up
« Reply #5 on: September 02, 2009, 03:44:44 PM »
Some will say it's not harder, some will say it is, but I think it's more tedious and there are way more regs to keep up with not to mention tracking the CMN's.
As far as software goes, this is an iffy subject because I do know DME billers who use a lower end software like Medisoft who will claim it works great and then I know billers who need to have a specific software just to file DME.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Pay_My_Claims

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Re: Newbie Trying to start up
« Reply #6 on: September 02, 2009, 03:48:25 PM »
depends on what you are billing with DME. We can send the electronic CMN and add the required narratives for repairs and labor with DME software, but since its not needed for Medical billing, its not added. This is the basic difference that I have seen, otherwise you can interchange them. Not all DME requires Difs or CMN's

mlranson

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Re: Newbie Trying to start up
« Reply #7 on: September 02, 2009, 04:51:13 PM »
Thank you so much for your advice. I appreciate it :)

Pay_My_Claims

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Re: Newbie Trying to start up
« Reply #8 on: September 02, 2009, 07:18:43 PM »
You are more than welcome, it feels good to have another DME biller in here. I feel so alone sometimes :-(


Michele

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Re: Newbie Trying to start up
« Reply #9 on: September 03, 2009, 06:49:02 AM »
Hey Charlene,
    Can DME be done as easily on any PM system, or is it better to have one tailored to DME?  You were so excited to see another DME biller you missed the question on the software!  LOL, just kidding!  I do a little DME and it works fine on my PM system, but since you do more I thought you would be better suited to answer.

Thanks
Michele
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Pay_My_Claims

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Re: Newbie Trying to start up
« Reply #10 on: September 03, 2009, 08:47:38 AM »
Michelle, I actually did reply to her question regarding software. I just don't "recommend" any particular one since I never know the specifics on what a person needs. I generally agree to GO WEB BASED!! Thats my basic criteria. Yes you can bill DME out of any PM software however you do come across other issues.  There are specifics required for certain DME equipment that DME software addresses. We are required to attach narratives for repairs and labor, and also send the CMN to Medicare. When dealing with commercial insurance the PM software works just fine. A narrative is also required for any K0108 codes. The narrative must include the description of the item, mfg name, retail prices, brief statement of medical necessity. If the code does not have an allowable you have to send a narrative (e2399, e2609 etc) Replacement parts/repairs have to include the hcpcs code of the type of chair, the date w/c was purchased/ who purchased it. Labor you must include amount of time being billed, hcpcs code of chair being repaired, date wc was purchased. We also have the recurring orders (rentals) that have to be entered. This is something that DME software has built in specifically. Also the ability to send the CMN's, print the Physicians order. Here is a link to one of the DME software programs that I use. Look at the screen shot for orders. http://teamdme.com/  Now like most PM software programs they offer features that may not be needed with Billing Services. I don't want scheduling, don't plan to do scheduling for any provider. TeamDME also offers inventory (specific to the provider, not the biller) I have been looking for a PM software program that would actually allow me to do fully DME billing. The system I am using now, I am working with them in regards to upgrading the capabilities to do full DME.

Billing for a walker, cane, or even shoes is DME billing, but when you get into custom Rehab, Power mobility, beds etc. the requirements are different.

http://www.cignagovernmentservices.com/partb/pubs/news/2009/0609/cope10101.html

I would like to know what type of software she uses now, and has she ever seen medical billing software.

Michele

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Re: Newbie Trying to start up
« Reply #11 on: September 03, 2009, 01:18:07 PM »
You're right!  I missed your answer  -  sorry   :-[

Michele
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Pay_My_Claims

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Re: Newbie Trying to start up
« Reply #12 on: September 03, 2009, 01:57:18 PM »
Not even a problem, I do it all the time!!!

mlranson

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Re: Newbie Trying to start up
« Reply #13 on: September 04, 2009, 08:07:57 AM »
Hi Charlene,

Sorry it took a while for me to respond. The system that we use at work is Pacware/Pacwin. It is not web based at all.  Sometimes it is hard to send to commercial electronically so we have to end up sending paper

Pay_My_Claims

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Re: Newbie Trying to start up
« Reply #14 on: September 04, 2009, 10:37:12 PM »
Oh God, don't I know it. TeamDME is server based as well.