General Category > General Questions
DME billing
Pay_My_Claims:
No its a per claim basis. If I submit 10 claims and the payment for them is all under 10K, I get 5% off those claims. If I submit 4 claims and payment is 10K+ the flat fee is 1000 per claim. This is only in the case of this provider because his volume of larger claims is small.If I did a flat fee of 5% accross the board, I wouldn't make any money. In general I base the fee schedule on the estimated revenue. If I have a DME provider that can bring in 100K a week. My percentage can be adjusted so that its financially beneficial to him and me. What you may want to do is look at the volume you have with your provider, look at the time it takes you, and look at how many providers you can do. 4% may be low because you feel you can make more, but if you increase it too much, you can lose a client. My full time provider sends out multiple claims that bring in over 10K so he couldn't afford to pay my fee. For him, he would be a flat fee accross the board of 3% because I know what I could make off a provider such as him, would be very very very nice!!!
Cherylwilli:
I'm a newbie and this is my first post. I have a home based billing service with 3 mental health providers. I was recently referred to a DME supplier who would like to talk to me about my services. I'm relatively new to billing and have only done mental health billing--so I find this intimidating, but I'm willing to learn anything. Can I use my current practice management software (Medisoft) for this or do I need something different. Can you give me some general information to help me prepare for my call. Thanks.
Cheryl
Pay_My_Claims:
Cheryl
What type of DME provider is he/she. DME is very broad
Cherylwilli:
I don't know. I was given their business card and told to call to discuss billing for them.
Cheryl
Pay_My_Claims:
Google them and find out what type of supplier they are. I work with high end custom rehab (power wheelchairs, hospital beds, manual chairs, standers, hoyer lifts, even work with the adaptive vans). We do other personal care products, but not that much. Some DME providers do just standard power chairs, or manual , or they deal with oxygen, personal care items, etc, so it varies.
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