DME/HME Billing Service
Providing DME / HME billing services can be an effective way to generate continued revenue for health care providers. It is important to note, however, that the billing process differs from medical billing in many ways. DME stands for durable medical equipment, and HME stands for home medical equipment.
DME and HME equipment have seen increasing demand in recent years. The DME/HME equipment has the potential to generate revenue; however, the process for submitting claims can be very complex, making it difficult to sustain income.
There are several steps involved in the process. Expertise is required from the moment a patient is prescribed HME until the insurance claims are filed. Coding all DME/HME equipment in the United States is done using the Healthcare Common Procedure Coding System, or HCPCS.
DME/HME Billing Process
The billing and coding process for DME/HME equipment is a little different from medical billing. Let’s take a look at how the process works:
✓A DME/HME equipment is prescribed when a doctor believes it is necessary for the treatment. A claim submission must include documentation explaining whether equipment should be billed as a Rental or Purchase.
✓The patient can then visit a provider or retailer to rent or buy the equipment after getting the prescription. The insurance company reviews the medical records and billing requirements before authorizing the purchase/ rental of the equipment. Once the necessary documentation is completed, the supplier will deliver the prescribed equipment.
✓To complete the HCPCS coding process, professionals must have access to prescriptions and medical insurance details. Providers may need authorization approval from insurers to submit claims.
✓Lastly, the claim must be submitted with all necessary paperwork and HCPCS Level II coding. Every piece of equipment must be carefully coded with the correct details and have an authorization number attached.
✓DME/HME claims are similar to other medical claims in terms of follow-up.
The Benefits Of Choosing Virtual Healthcare
Virtual Healthcare can handle all of your DME/HME billing needs efficiently. According to the US healthcare system, we adhere to strict guidelines regarding DME/HME billing and we have a team of professionals who look into every detail. Our team of HCPCS coding specialists, claims specialists, and follow-up specialists work together to ensure you get the most revenue without having to deal with late payments and denial.
Virtual Healthcare Can Help You
At Virtual Healthcare, you have access to top-tier DME/HME billing professionals and competitive medical billing software. Contact Virtual Healthcare today to start improving your revenue cycle management!
Mobility aids such as crutches, walkers, scooters, manual and power wheelchairs
Machines to treat sleeping disorders, such as CPAP, BI-PAP, and ASV.
Billing for hospital beds and accessories
Billing for Patient Lifts and Standing Frames
NPWT and wound treatment equipment
DME and HME equipment for the bathroom
Additional miscellaneous equipment and accessories such as hearing aids, ventilators, and supplies.