General Category > General Questions
DME billing
margemib:
can I ask where did you get your training for this type of billing?
margemib
Pay_My_Claims:
I used to sell DME equipment, so I got my initial training from that company, and I eventually worked doing the AR/Billing for one of the largest DME providers in eastern NC.
margemib:
what form do you use for this type of billing, is it a cms-1500?
margemib
Pay_My_Claims:
yes we bill in the cms-1500. The complexities of DME is often the documentation. Unlike chiro, mental health, or any other specialty field, you don't have superbills. You receive an rx from the physician, verify eligibility benefits (same or similar). New pov, client has to have a face-to-face exam, a LMN ,detailed written order, 7-element Rx, attestation of financial responsibility, home assessment, and be submitted for ADMC approval. A DME provider may want his billing service to obtain that information from beginning to end, thus it will make it more difficult to work several high end DME providers. The difficulty isn't so much in the billing, but the consumption of time to obtain the required documentation for certain DME equipment.
margemib:
do you charge a different rate depending on what the supplier wants you to do?
margemib
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